| Behavioral Health And Wellness Solutions Of Ct, Llc | |
|
31 Timberwood Trl Hamden CT 06514-1159 | |
| (203) 400-1884 | |
| Not Available |
| Full Name | Behavioral Health And Wellness Solutions Of Ct, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 31 Timberwood Trl, Hamden, Connecticut |
| Authorized Official Name and Position | Jessica Kathleen Marshall (OWNER) |
| Authorized Official Contact | 2034001884 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Behavioral Health And Wellness Solutions Of Ct, Llc 31 Timberwood Trl Hamden CT 06514-1159 Ph: (203) 400-1884 | Behavioral Health And Wellness Solutions Of Ct, Llc 31 Timberwood Trl Hamden CT 06514-1159 Ph: (203) 400-1884 |
| NPI Number | 1114479888 |
|---|---|
| Provider Enumeration Date | 10/28/2016 |
| Last Update Date | 10/28/2016 |
| Medicare PECOS PAC ID | 5395020945 |
|---|---|
| Medicare Enrollment ID | O20170321002521 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114479888 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 007256 (Connecticut) | Primary |
| Provider Name | Deana T Obrien |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184051351 PECOS PAC ID: 2860629805 Enrollment ID: I20131218000861 |
| Provider Name | Molly H Whitehouse |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295165199 PECOS PAC ID: 3375861487 Enrollment ID: I20150421000588 |
| Provider Name | Suzanne A Rosenberg |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003130519 PECOS PAC ID: 2567766033 Enrollment ID: I20160203000725 |
| Provider Name | Tracey Appleget |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427413988 PECOS PAC ID: 6507148608 Enrollment ID: I20170125002278 |
| Provider Name | Lisa M Navarra |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386977890 PECOS PAC ID: 5193863397 Enrollment ID: I20170207001078 |
| Provider Name | Jessica Kathleen Marshall |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700194271 PECOS PAC ID: 6204111859 Enrollment ID: I20170321002595 |
| Provider Name | Dawnmarie Hunter |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598297368 PECOS PAC ID: 9537434022 Enrollment ID: I20171106002468 |
| Provider Name | Mary Ann Csw Ingriselli |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356852693 PECOS PAC ID: 2365702768 Enrollment ID: I20180202001686 |
| Provider Name | Erin Pfeifer Andrin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972913937 PECOS PAC ID: 1850651266 Enrollment ID: I20180202002021 |
| Provider Name | Eric B Fabricant |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922304849 PECOS PAC ID: 2567723273 Enrollment ID: I20180220002480 |
| Provider Name | Stella M Ntate |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710144134 PECOS PAC ID: 7719228519 Enrollment ID: I20190404000270 |
| Provider Name | Enid Helene Peterson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912044413 PECOS PAC ID: 0345579421 Enrollment ID: I20190916001728 |
| Provider Name | Anna Sullivan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295175792 PECOS PAC ID: 1355671801 Enrollment ID: I20190925002535 |
| Provider Name | Martin Sinclair Perry |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437390655 PECOS PAC ID: 1456762251 Enrollment ID: I20201130003065 |
| Provider Name | Deshawn Mcfarlane |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174004618 PECOS PAC ID: 2365858354 Enrollment ID: I20210317002531 |
| Provider Name | Casey Jean Merrill |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649850793 PECOS PAC ID: 9931517331 Enrollment ID: I20210423002348 |
| Provider Name | Richard Vincent Daly |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922107069 PECOS PAC ID: 6709285539 Enrollment ID: I20210528000047 |
| Provider Name | Lorraine A Wozniak |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073287538 PECOS PAC ID: 5597153585 Enrollment ID: I20211025001091 |
| Provider Name | Maggie Marie Smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982266995 PECOS PAC ID: 4486031366 Enrollment ID: I20220516000082 |
| Provider Name | John Keane |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679900765 PECOS PAC ID: 4789062589 Enrollment ID: I20220607002588 |
| Provider Name | Claudine Pettigrew |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659911238 PECOS PAC ID: 4789050576 Enrollment ID: I20221019002069 |
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