| Dominique Larosa, BA | |
|
73 East St, Plainville, CT 06062-2341 | |
| (860) 335-2960 | |
| Not Available |
| Full Name | Dominique Larosa |
|---|---|
| Gender | Female |
| Speciality | Clinical Social Worker |
| Experience | 5 Years |
| Location | 73 East St, Plainville, Connecticut |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831610211 | NPI | - | NPPES |
| 97054599605 | Other | CONNECTICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Wheeler Clinic Inc | 0345147153 | 105 |
| Entity Name | Wheeler Clinic Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396750840 PECOS PAC ID: 0345147153 Enrollment ID: O20031218000218 |
| Mailing Address | Practice Location Address |
|---|---|
| Dominique Larosa, BA 73 East St, Plainville, CT 06062-2341 Ph: Not Available | Dominique Larosa, BA 73 East St, Plainville, CT 06062-2341 Ph: (860) 335-2960 |
Jonathan Codraro, M.S Counselor Medicare: Not Enrolled in Medicare Practice Location: 74 East St, Plainville, CT 06062 Phone: 860-466-9646 |
Olivia Anne Ayers, INTERN Counselor Medicare: Not Enrolled in Medicare Practice Location: 91 Northwest Dr, Plainville, CT 06062 Phone: 860-793-3060 Fax: 860-793-3060 |
Mr. Lewis Alan Slotnick, M.S. LADC ICAADC SAP Counselor Medicare: Not Enrolled in Medicare Practice Location: 73 E Main St, Plainville, CT 06062 Phone: 860-324-6506 Fax: 860-675-6124 |
Ciyauah Lashawn Daniels, Counselor Medicare: Not Enrolled in Medicare Practice Location: 74 East St, Plainville, CT 06062 Phone: 860-793-4200 |
Julia Zarovny, BA Counselor Medicare: Not Enrolled in Medicare Practice Location: 91 Northwest Dr, Plainville, CT 06062 Phone: 860-793-3500 |
Mr. Viktor A Gonzalez, Counselor Medicare: Not Enrolled in Medicare Practice Location: 91 Northwest Dr, Plainville, CT 06062 Phone: 860-793-3500 |
Stacey Brown, Counselor Medicare: Not Enrolled in Medicare Practice Location: 91 Northwest Dr, Plainville, CT 06062 Phone: 860-223-8885 |