| Ms Pamela Elizabeth Mirante, LCSW | |
|
808 Stonington Rd Ste 200, Stonington, CT 06378-2517 | |
| (860) 204-6589 | |
| Not Available |
| Full Name | Ms Pamela Elizabeth Mirante |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 808 Stonington Rd Ste 200, Stonington, Connecticut |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003940917 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 004917 (Connecticut) | Primary |
| Entity Name | Mind Body Rise |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003481755 PECOS PAC ID: 6800292343 Enrollment ID: O20210908001574 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Pamela Elizabeth Mirante, LCSW 213 W Shore Ave, Groton, CT 06340-8942 Ph: (860) 916-3272 | Ms Pamela Elizabeth Mirante, LCSW 808 Stonington Rd Ste 200, Stonington, CT 06378-2517 Ph: (860) 204-6589 |
Maura Merrill, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 808 Stonington Rd Ste 201, Stonington, CT 06378 Phone: 860-535-9920 | |
Steven N. Simonson, LCSW, DCSW, BCD Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 55 Wilcox Rd, Stonington, CT 06378 Phone: 860-572-8834 | |
Jean B. Peterson, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 22 Bayview Ave, Stonington, CT 06378 Phone: 860-536-4478 Fax: 860-536-4478 | |
Elda Storey Chesebrough, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 107 Wilcox Rd, Suite 111, Stonington, CT 06378 Phone: 860-572-4969 Fax: 860-572-5767 | |
Ms. Elizabeth Tobin Brown, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 107 Wilcox Rd Ste 108, Stonington, CT 06378 Phone: 860-536-1333 Fax: 860-535-0875 | |
Rosanne Janes Derix, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 107 Wilcox Rd Ste 107e, Stonington, CT 06378 Phone: 860-295-4371 |