| Mitzi Liotta, | |
|
20 Research Pkwy, Old Saybrook, CT 06475-4214 | |
| (800) 370-3651 | |
| Not Available |
| Full Name | Mitzi Liotta |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 20 Research Pkwy, Old Saybrook, Connecticut |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649643297 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 009320 (Connecticut) | Primary |
| Entity Name | Greenwich Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609846088 PECOS PAC ID: 3678476710 Enrollment ID: O20040128000288 |
| Mailing Address | Practice Location Address |
|---|---|
| Mitzi Liotta, 20 Research Pkwy, Old Saybrook, CT 06475-4214 Ph: () - | Mitzi Liotta, 20 Research Pkwy, Old Saybrook, CT 06475-4214 Ph: (800) 370-3651 |
Patricia A Colella, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 20 Research Pkwy, Suite C, Old Saybrook, CT 06475 Phone: 800-370-3651 Fax: 860-510-0020 | |
Virginia Becker Rhodes, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 841 Middlesex Tpke, Old Saybrook, CT 06475 Phone: 860-395-0111 Fax: 860-395-1264 | |
Michael Momparler, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 18 Reed Ct, Old Saybrook, CT 06475 Phone: 860-388-8831 | |
Mr. Ethan A. Kelly, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 263 Main St, Old Saybrook, CT 06475 Phone: 860-395-6380 Fax: 860-395-6382 | |
Diane Achenbach-zatorsk, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 20 Research Pkwy Ste C, Old Saybrook, CT 06475 Phone: 800-370-3651 Fax: 860-510-0020 | |
Chelsea Wright Graham, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 322 Main St, Old Saybrook, CT 06475 Phone: 860-510-5047 | |
Larry Weston Shobe, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 20 Research Pkwy, Suite C, Old Saybrook, CT 06475 Phone: 800-370-3651 Fax: 860-510-0020 |