| Shamar J Young, LMSW, LCSW | |
|
30 Hazel Ter Ste J, Woodbridge, CT 06525-2240 | |
| (203) 787-8812 | |
| (203) 387-7721 |
| Full Name | Shamar J Young |
|---|---|
| Gender | Male |
| Speciality | Social Worker - Clinical |
| Location | 30 Hazel Ter Ste J, Woodbridge, Connecticut |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760732085 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Entity Name | Our Community Counseling Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235668096 PECOS PAC ID: 5991136079 Enrollment ID: O20200505000299 |
| Mailing Address | Practice Location Address |
|---|---|
| Shamar J Young, LMSW, LCSW Po Box 3301, New Haven, CT 06515-0401 Ph: (203) 787-8812 | Shamar J Young, LMSW, LCSW 30 Hazel Ter Ste J, Woodbridge, CT 06525-2240 Ph: (203) 787-8812 |
Khalilah Abdulrahim, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 30 Hazel Ter Ste 20, Woodbridge, CT 06525 Phone: 203-619-1870 | |
Ava L Diamond, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 8 Pine Hill Rd, Woodbridge, CT 06525 Phone: 203-671-4152 | |
Ms. Heidi Lee Lively, L.C.S.W. Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 15 Osborne Ln, Woodbridge, CT 06525 Phone: 207-522-3676 | |
Patricia Williamson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 214 Amity Rd, Woodbridge, CT 06525 Phone: 203-688-5280 | |
Ashley Donovan, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1 Bradley Rd, 905, Woodbridge, CT 06525 Phone: 203-298-9005 | |
Nicole Marie Derobertis, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 245 Amity Rd Ste 209, Woodbridge, CT 06525 Phone: 203-644-0557 | |
Mr. Dayne Romano, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 260 Amity Rd, Woodbridge, CT 06525 Phone: 475-439-9639 |