Mr Charles Vincent Lange, LCSW | |
1007 North Main Street, Dayville, CT 06241-0839 | |
(860) 774-2020 | |
Not Available |
Full Name | Mr Charles Vincent Lange |
---|---|
Gender | Male |
Speciality | Clinical Social Worker |
Experience | 31 Years |
Location | 1007 North Main Street, Dayville, Connecticut |
Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1790020840 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 003893 (Connecticut) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Middlesex Hospital | Middletown, CT | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Middlesex Hospital | 5092611731 | 202 |
Entity Name | Middlesex Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760454334 PECOS PAC ID: 5092611731 Enrollment ID: O20031211000843 |
Entity Name | Waire Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1871744243 PECOS PAC ID: 4183782360 Enrollment ID: O20081016000105 |
Entity Name | Liberty Integrated Behavioral Health Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1417483165 PECOS PAC ID: 2769714286 Enrollment ID: O20191101000112 |
Mailing Address | Practice Location Address |
---|---|
Mr Charles Vincent Lange, LCSW 1007 North Main Street, Dayville, CT 06241-0839 Ph: (860) 774-2020 | Mr Charles Vincent Lange, LCSW 1007 North Main Street, Dayville, CT 06241-0839 Ph: (860) 774-2020 |
Ms. Sharon Marie Steflik, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1007 North Main Street, Dayville, CT 06241 Phone: 860-456-2261 Fax: 860-450-7116 | |
Akemi Sakurai-krakowiak, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1007 N Main St, Dayville, CT 06241 Phone: 860-774-2020 | |
Bryan Keith Salai, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1007 N Main St, Dayville, CT 06241 Phone: 860-774-2020 Fax: 860-774-0826 | |
Shelby Champagne, MSW INTERN Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1007 N Main St, Dayville, CT 06241 Phone: 860-774-2020 | |
Hali Vaclavik, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 11 Dog Hill Rd, Dayville, CT 06241 Phone: 860-779-0321 | |
Caleb Sheldon, LMSW-T Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1007 N Main St, Dayville, CT 06241 Phone: 860-774-2020 Fax: 860-774-0826 | |
Cathy Boisvert, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1007 N Main St, Dayville, CT 06241 Phone: 860-774-2020 Fax: 860-774-0826 |