| Mrs Theresa Ouellette, LCSW | |
|
27 Naek Rd Ste 4, Vernon, CT 06066-3965 | |
| (860) 982-9825 | |
| (860) 870-9384 |
| Full Name | Mrs Theresa Ouellette |
|---|---|
| Gender | Female |
| Speciality | Clinical Social Worker |
| Experience | 17 Years |
| Location | 27 Naek Rd Ste 4, Vernon, 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 |
|---|---|---|---|
| 1063823839 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 008628 (Connecticut) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Hockanum Valley Community Council, Inc. | 3476534017 | 6 |
| Entity Name | Hockanum Valley Community Council, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336179480 PECOS PAC ID: 3476534017 Enrollment ID: O20040601000823 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Theresa Ouellette, LCSW 27 Naek Rd Ste 4, Vernon, CT 06066-3965 Ph: (860) 982-9825 | Mrs Theresa Ouellette, LCSW 27 Naek Rd Ste 4, Vernon, CT 06066-3965 Ph: (860) 982-9825 |
Dennis Tomczak, Counselor Medicare: Not Enrolled in Medicare Practice Location: 201 Regan Rd Apt 33a, Vernon, CT 06066 Phone: 860-916-1816 | |
Ms. Gwendolyn Elaine Hayes, LCSW Counselor Medicare: May Accept Medicare Assignments Practice Location: 35 Talcottville Rd Ste 10, Vernon, CT 06066 Phone: 860-558-2554 | |
Mrs. Marissa Brook Cormier, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 27 Naek Rd Ste 4, Vernon, CT 06066 Phone: 860-872-9825 Fax: 860-870-9384 | |
Nikki Gilgosky, Counselor Medicare: Not Enrolled in Medicare Practice Location: 27 Naek Rd Ste 4, Vernon, CT 06066 Phone: 860-872-9835 | |
Brianna Gurn, Counselor Medicare: Not Enrolled in Medicare Practice Location: 155 W Main St, Apt 309, Vernon, CT 06066 Phone: 860-617-0247 | |
Ms. Nancy Taylor Dunn, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 933 Hartford Tpke, Vernon, CT 06066 Phone: 860-872-7696 Fax: 860-871-0252 |