| Mr John William White Jr, MSW | |
|
9 Elm Rd, Cromwell, CT 06416-2164 | |
| (860) 316-5577 | |
| Not Available |
| Full Name | Mr John William White Jr |
|---|---|
| Gender | Male |
| Speciality | Social Worker - Clinical |
| Location | 9 Elm Rd, Cromwell, Connecticut |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184051146 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 008258 (Connecticut) | Primary |
| Entity Name | Courage Ahead Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427812668 PECOS PAC ID: 3173065208 Enrollment ID: O20240605000265 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr John William White Jr, MSW 9 Elm Rd, Cromwell, CT 06416-2164 Ph: (860) 316-5577 | Mr John William White Jr, MSW 9 Elm Rd, Cromwell, CT 06416-2164 Ph: (860) 316-5577 |
Ms. Kristy Lee Notarangelo, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 110 Court St, Suite 5, Cromwell, CT 06416 Phone: 860-632-1326 Fax: 860-632-1028 | |
Mrs. Laura Kuehn, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 34 Shunpike Rd, Suite 3 #248, Cromwell, CT 06416 Phone: 860-288-7870 | |
Theresa L. Hixson, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 110 Court St Ste 3, Cromwell, CT 06416 Phone: 860-613-9930 Fax: 860-613-9952 | |
Ms. Frances A Shaver, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 110 Court St Ste 3, Cromwell, CT 06416 Phone: 860-613-9930 Fax: 860-613-9952 | |
Mrs. Jaime Bliss Guilmette, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 80 Shunpike Rd, Unit 207, Cromwell, CT 06416 Phone: 860-798-4963 Fax: 860-852-5904 | |
Shannone Pettie, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 58 Missionary Rd, Cromwell, CT 06416 Phone: 860-635-3010 |