| Mrs Stacey Ann Matan, | |
|
132 Misty Mountain Rd, Berlin, CT 06037-2748 | |
| (203) 214-3191 | |
| Not Available |
| Full Name | Mrs Stacey Ann Matan |
|---|---|
| Gender | Female |
| Speciality | Clinical Social Worker |
| Experience | 28 Years |
| Location | 132 Misty Mountain Rd, Berlin, Connecticut |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144020462 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 009211 (Connecticut) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mellahealth Llc | 9032528658 | 23 |
| Entity Name | Mellahealth LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477158046 PECOS PAC ID: 9032528658 Enrollment ID: O20210512001623 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Stacey Ann Matan, 132 Misty Mountain Rd, Berlin, CT 06037-2748 Ph: (203) 214-3191 | Mrs Stacey Ann Matan, 132 Misty Mountain Rd, Berlin, CT 06037-2748 Ph: (203) 214-3191 |
Andrea Elease Coleman, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 365 Main St, Berlin, CT 06037 Phone: 860-248-6004 |
Jessica Bill, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 220 Newton St, Berlin, CT 06037 Phone: 203-598-5388 |
Katharine Smulski, LCSW Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 211 Vineyard Dr, Berlin, CT 06037 Phone: 860-559-0248 |
Christie Fiori, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 48 Cornwall Rd, Berlin, CT 06037 Phone: 860-878-1744 |
Ms. Marisa Lindsey, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 314 New Britain Rd Ste C, Berlin, CT 06037 Phone: 203-759-8809 |
Miss Elizabeth T Waszkiewicz, L.C.S.W. Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 96 Langdon Ct, Berlin, CT 06037 Phone: 860-978-7108 |
Morgan Kelly, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 10 Steele Blvd, Berlin, CT 06037 Phone: 860-407-5375 |