| Ms De'andrea Lr Dillard, MSM, LCSW | |
|
1113 S Main St Ste F, Cheshire, CT 06410-3436 | |
| (203) 699-6318 | |
| Not Available |
| Full Name | Ms De'andrea Lr Dillard |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 1113 S Main St Ste F, Cheshire, Connecticut |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063845766 | NPI | - | NPPES |
| 060669107 | Other | CT | UBH-OXFORD LIBERTY/FREEDOM PLAN WELLMORE GRP/FACILITY |
| D339210 WATERBURY | Other | CT | BEACON HEALTH STRATEGIES |
| NOT ELIGIBLE | Other | CT | MHN-TRICARE NORTH |
| 060669107 | Other | CT | HEALTHYCT |
| NOT ELIGIBLE | Other | CT | MHN-MANAGED HEALTH NETWORK |
| 060669107 | Other | CT | UBH-CONNECTICARE WELLMORE GRP/FACILITY |
| 060669107 | Other | CT | ANTHEM BCBS OF CT -WELLMORE,INC GROUP/FACILITY CONTRACT |
| PENDING | Other | CT | CIGNA BEHAVIORAL HEALTH |
| 060669107 | Other | CT | UBH-UNITED HEALTHCARE WELLMORE GRP/FACILITY |
| 12600248 | Other | CT | CAQH |
| PENDING | Other | CT | AETNA BEHAVIORAL HEALTH |
| 008060102 | Medicaid | CT | |
| 060669107 | Other | CT | UNITED BEHAVIORAL HEALTH WELLMORE GRP/FACILITY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 10596 (* (Not Available)) | Primary |
| Entity Name | Step Up Care Pc Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154884740 PECOS PAC ID: 5496088346 Enrollment ID: O20190607000156 |
| Entity Name | Restoring You Wellness Center Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023650090 PECOS PAC ID: 0749612935 Enrollment ID: O20191108000780 |
| Entity Name | Grow Healthcare Group Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20220512000081 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms De'andrea Lr Dillard, MSM, LCSW 1113 S Main St Ste F, Cheshire, CT 06410-3436 Ph: (203) 699-6318 | Ms De'andrea Lr Dillard, MSM, LCSW 1113 S Main St Ste F, Cheshire, CT 06410-3436 Ph: (203) 699-6318 |
Delmaliz Montes De Oca, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 787 N Brooksvale Rd, Cheshire, CT 06410 Phone: 203-802-5949 | |
Rachel Paige Mastin, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 555 Highland Ave Ste 21, Cheshire, CT 06410 Phone: 944-920-3263 | |
Benjamin Chaback, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 545 Highland Ave, Cheshire, CT 06410 Phone: 203-250-0305 | |
Ethan Sansolo, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 407 Highland Ave, Building A, Suite 6, Cheshire, CT 06410 Phone: 860-335-7615 | |
Lisa Marie Kicinski, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 114 S Main St Ste 28and32, Cheshire, CT 06410 Phone: 860-348-5614 | |
Raenette G Riddick, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 416 Highland Ave Ste B, Cheshire, CT 06410 Phone: 203-599-1492 |