Mrs Kimberly Patterson Mishriky, LCSW | |
15 Mercer Ave, School Based Health Center, East Hartford, CT 06118-1517 | |
(860) 622-5513 | |
Not Available |
Full Name | Mrs Kimberly Patterson Mishriky |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 15 Mercer Ave, East Hartford, Connecticut |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1396994455 | NPI | - | NPPES |
006850 | Other | CT | STATE LICENCE |
Taxonomy | Type | License (State) | Status |
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1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Entity Name | Intercommunity Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073548533 PECOS PAC ID: 9032001649 Enrollment ID: O20040329000218 |
Mailing Address | Practice Location Address |
---|---|
Mrs Kimberly Patterson Mishriky, LCSW 10 Candlelight Dr, Glastonbury, CT 06033-2537 Ph: (860) 633-3595 | Mrs Kimberly Patterson Mishriky, LCSW 15 Mercer Ave, School Based Health Center, East Hartford, CT 06118-1517 Ph: (860) 622-5513 |
Mrs. Sheila Ann Bridges-woods, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 588 Silver Ln, East Hartford, CT 06118 Phone: 860-770-8640 | |
Ms. Vanessa Marie Leone, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7 Birchwood Rd, East Hartford, CT 06118 Phone: 860-214-2846 | |
Miss Nicole Salisbury, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 800 Connecticut Blvd, East Hartford, CT 06108 Phone: 860-622-5341 | |
Karl Stephen Wilson, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 98 Wakefield Cir # 98, East Hartford, CT 06118 Phone: 860-655-2429 | |
Nicole Osborne, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 94 Conn Blvd, East Hartford, CT 06108 Phone: 860-610-6160 | |
Mrs. Ursula Ann Jackson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 450 Forbes St, East Hartford, CT 06118 Phone: 860-622-5340 Fax: 860-622-5342 | |
Kelly Littlejohn Jr., LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 101 Clayton Rd, East Hartford, CT 06118 Phone: 860-752-5085 |