| Tamika M Brock, MSW | |
|
1007 N. Main St, Dayville, CT 06421-0839 | |
| (860) 774-2020 | |
| (860) 774-0826 |
| Full Name | Tamika M Brock |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 1007 N. Main St, Dayville, Connecticut |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942450606 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Entity Name | State Of Connecticut |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487689022 PECOS PAC ID: 8022915677 Enrollment ID: O20040319000169 |
| Mailing Address | Practice Location Address |
|---|---|
| Tamika M Brock, MSW 1007 N. Main St, Dayville, CT 06421-0839 Ph: (860) 774-2020 | Tamika M Brock, MSW 1007 N. Main St, Dayville, CT 06421-0839 Ph: (860) 774-2020 |
Ms. Sharon Marie Steflik, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1007 North Main Street, Dayville, CT 06241 Phone: 860-456-2261 Fax: 860-450-7116 | |
Bryan Keith Salai, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1007 N Main St, Dayville, CT 06241 Phone: 860-774-2020 Fax: 860-774-0826 | |
Shelby Champagne, MSW INTERN Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1007 N Main St, Dayville, CT 06241 Phone: 860-774-2020 | |
Caleb Sheldon, LMSW-T Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1007 N Main St, Dayville, CT 06241 Phone: 860-774-2020 Fax: 860-774-0826 | |
Cathy Boisvert, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1007 N Main St, Dayville, CT 06241 Phone: 860-774-2020 Fax: 860-774-0826 | |
Ellen Buffa, LMSW Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 1007 N Main St, Dayville, CT 06241 Phone: 860-774-2020 | |
Mrs. Gina Marie Malloy, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1007 N Main St, Dayville, CT 06241 Phone: 860-774-2020 |