Tavia Briscoe, is a
Social Worker - Clinical based in Glastonbury, Connecticut. Tavia Briscoe is licensed to practice in Connecticut (license number 010423) and her current practice location is
33 Pratt St, Glastonbury, Connecticut. She can be reached at her office (for appointments etc.) via phone at
(860) 731-5522.
NPI number for Tavia Briscoe is 1073965661 and her current mailing address is 33 Pratt St, Glastonbury, Connecticut. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1073965661.
Healthcare Provider's Profile
| Full Name | Tavia Briscoe |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 33 Pratt St, Glastonbury, Connecticut |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1073965661
- Provider Enumeration Date: 07/07/2016
- Last Update Date: 06/10/2020
Medical Identifiers
Medical identifiers for Tavia Briscoe such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1073965661 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | 010423 (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. Tavia Briscoe 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 |
Tavia Briscoe, 33 Pratt St, Glastonbury, CT 06033-1014 Ph: (860) 731-5522 | Tavia Briscoe, 33 Pratt St, Glastonbury, CT 06033-1014 Ph: (860) 731-5522 |
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