| Mrs Marcy S Puklin, LCSW | |
|
57 Plains Rd, Milford, CT 06461-2573 | |
| (203) 858-5560 | |
| Not Available |
| Full Name | Mrs Marcy S Puklin |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 57 Plains Rd, Milford, Connecticut |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568677037 | NPI | - | NPPES |
| 002528 | Other | CT | STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 002528 (Connecticut) | Primary |
| Entity Name | St. Vincent's Multispecialty Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043544489 PECOS PAC ID: 6204977218 Enrollment ID: O20100112000538 |
| Entity Name | Marcy S Puklin Lcsw Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043954530 PECOS PAC ID: 0749659688 Enrollment ID: O20221215000803 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Marcy S Puklin, LCSW 1 Victoria Ln, Westport, CT 06880-2155 Ph: (203) 227-5752 | Mrs Marcy S Puklin, LCSW 57 Plains Rd, Milford, CT 06461-2573 Ph: (203) 858-5560 |
Ms. Katie Rodriguez, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 941 Bridgeport Ave, Milford, CT 06460 Phone: 203-878-6365 | |
Isabelle Breen, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 949 Bridgeport Ave, Milford, CT 06460 Phone: 203-878-6365 | |
Annette Szczesiul, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 949 Bridgeport Ave, Milford, CT 06460 Phone: 203-878-6365 | |
Carra Conlan, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 528 Wheelers Farms Rd, Milford, CT 06461 Phone: 203-713-7728 | |
Ann M Buchas, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 99 Cherry St, Milford, CT 06460 Phone: 203-783-9803 Fax: 203-783-9803 | |
Diane M Prior, L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 25 Regent Ter, Milford, CT 06460 Phone: 203-783-9648 | |
Tiffany Hope, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 217 Forest Rd, Milford, CT 06461 Phone: 215-284-5335 |