| Andrew Lautenberger, LADC | |
|
326 Washington St, Norwich, CT 06360-2740 | |
| (860) 889-8331 | |
| Not Available |
| Full Name | Andrew Lautenberger |
|---|---|
| Gender | Male |
| Speciality | Mental Health Counselor |
| Experience | 14 Years |
| Location | 326 Washington St, Norwich, Connecticut |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265153175 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 001144 (Connecticut) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| William W Backus Hospital | Norwich, CT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| The William W Backus Hospital | 0749170645 | 208 |
| Entity Name | The William W Backus Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467517235 PECOS PAC ID: 0749170645 Enrollment ID: O20040316000739 |
| Mailing Address | Practice Location Address |
|---|---|
| Andrew Lautenberger, LADC 38 Hope St Unit 11, Niantic, CT 06357-2432 Ph: (860) 961-2092 | Andrew Lautenberger, LADC 326 Washington St, Norwich, CT 06360-2740 Ph: (860) 889-8331 |
Renee Eddy, MS, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 12 Case St Ste 301, Norwich, CT 06360 Phone: 860-934-7942 Fax: 860-934-7984 | |
Charlotte T Farmer, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 18 Oneco St Ste 3, Norwich, CT 06360 Phone: 860-861-5448 | |
Jill E Roediger, L.A.D.C., C.A.D.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 110 Main St, Norwich, CT 06360 Phone: 860-892-9002 Fax: 860-892-9009 | |
Paula Rodriguez-pranaitis, Counselor Medicare: Accepting Medicare Assignments Practice Location: 47 Town St, Norwich, CT 06360 Phone: 413-846-0445 | |
Randolph Brooks, PH.D. Counselor Medicare: Not Enrolled in Medicare Practice Location: 40 Connecticut Ave, Norwich, CT 06360 Phone: 860-889-7274 | |
Maridalia M Hernandez, Counselor Medicare: Not Enrolled in Medicare Practice Location: 55 Main St, Norwich, CT 06360 Phone: 860-885-6054 | |
Danielle Judith Laprade, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 47 Town St, Norwich, CT 06360 Phone: 860-822-2805 |