Shannon Quinn Kulak, LCSW is a
Social Worker - Clinical based in West Hartford, Connecticut. Shannon Quinn Kulak is licensed to practice in Connecticut (license number 010503) and her current practice location is
801 Farmington Ave, West Hartford, Connecticut. She can be reached at her office (for appointments etc.) via phone at
(860) 808-6677.
NPI number for Shannon Quinn Kulak is 1154890796 and her current mailing address is 801 Farmington Ave, West Hartford, Connecticut. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1154890796.
Healthcare Provider's Profile
| Full Name | Shannon Quinn Kulak |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 801 Farmington Ave, West Hartford, Connecticut |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1154890796
- Provider Enumeration Date: 11/13/2018
- Last Update Date: 09/29/2025
Medical Identifiers
Medical identifiers for Shannon Quinn Kulak such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1154890796 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101YM0800X | Counselor - Mental Health | 3884 (Connecticut) | Secondary |
| 1041C0700X | Social Worker - Clinical | 010503 (Connecticut) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Shannon Quinn Kulak is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Shannon Quinn Kulak, LCSW 801 Farmington Ave, West Hartford, CT 06119-1600 Ph: (860) 808-6677 | Shannon Quinn Kulak, LCSW 801 Farmington Ave, West Hartford, CT 06119-1600 Ph: (860) 808-6677 |
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