| Changing Stories Llc | |
|
30 Main St Fl 1 East Haven CT 06512-2506 | |
| (475) 300-8130 | |
| (203) 891-5976 |
| Full Name | Changing Stories Llc |
|---|---|
| Speciality | Social Worker |
| Location | 30 Main St Fl 1, East Haven, Connecticut |
| Authorized Official Name and Position | William Ledwith (OWNER) |
| Authorized Official Contact | 4753008130 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Changing Stories Llc 30 Main St Fl 1 East Haven CT 06512-2506 Ph: (475) 300-8130 | Changing Stories Llc 30 Main St Fl 1 East Haven CT 06512-2506 Ph: (475) 300-8130 |
| NPI Number | 1205434263 |
|---|---|
| Provider Enumeration Date | 10/13/2020 |
| Last Update Date | 10/13/2020 |
| Certification Date | 10/13/2020 |
| Medicare PECOS PAC ID | 6406267236 |
|---|---|
| Medicare Enrollment ID | O20201130000340 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205434263 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | William G. Ledwith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760953228 PECOS PAC ID: 8123439957 Enrollment ID: I20201130000645 |
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