| Ms Lisa Fargnoli, LCSW | |
|
5 Magauran Dr, Stafford Springs, CT 06076-4046 | |
| (860) 863-6888 | |
| Not Available |
| Full Name | Ms Lisa Fargnoli |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 5 Magauran Dr, Stafford Springs, Connecticut |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710302542 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 8482 (Connecticut) | Primary |
| Entity Name | Healthdrive Behavioral Health Services, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760909279 PECOS PAC ID: 8729345822 Enrollment ID: O20171128001313 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Lisa Fargnoli, LCSW Po Box 931, Somers, CT 06071-4031 Ph: (860) 863-6888 | Ms Lisa Fargnoli, LCSW 5 Magauran Dr, Stafford Springs, CT 06076-4046 Ph: (860) 863-6888 |
Stephanie Tullock, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 201 Chestnut Hill Rd, Stafford Springs, CT 06076 Phone: 860-684-8290 Fax: 860-684-8179 | |
Ms. Bernadina Lakshmi Van Deusen, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 21 Hyde Park Rd, Stafford Springs, CT 06076 Phone: 860-684-4239 Fax: 860-684-0511 | |
Mrs. Karen Louise Friedmann, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 201 Chestnut Hill Rd, Stafford Springs, CT 06076 Phone: 860-228-5141 | |
Deborah Eddinger, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 21 Hyde Park Rd, Stafford Springs, CT 06076 Phone: 860-684-4239 |