| Child And Family Agency Of Southeastern Connecticut, Inc. | |
|
7 Vauxhall St New London CT 06320-5711 | |
| (860) 442-2797 | |
| (860) 701-3776 |
| Full Name | Child And Family Agency Of Southeastern Connecticut, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 7 Vauxhall St, New London, Connecticut |
| Authorized Official Name and Position | Lisa Baxter (CHIEF FINANCIAL AND ADMIN OFFICER) |
| Authorized Official Contact | 8604432896 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Child And Family Agency Of Southeastern Connecticut, Inc. 255 Hempstead St New London CT 06320-6204 Ph: (860) 443-2896 | Child And Family Agency Of Southeastern Connecticut, Inc. 7 Vauxhall St New London CT 06320-5711 Ph: (860) 442-2797 |
| NPI Number | 1215393327 |
|---|---|
| Provider Enumeration Date | 01/05/2016 |
| Last Update Date | 06/20/2019 |
| Medicare PECOS PAC ID | 2163756982 |
|---|---|
| Medicare Enrollment ID | O20190628000228 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215393327 | NPI | - | NPPES |
| 008062936 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 0586 (Connecticut) | Primary |
| Provider Name | Allana R Lee |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1053503904 PECOS PAC ID: 2961549498 Enrollment ID: I20091102000292 |
| Provider Name | Amit Rathi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1972704245 PECOS PAC ID: 7517145279 Enrollment ID: I20110628000340 |
| Provider Name | Danielle R Morgan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922004290 PECOS PAC ID: 9335129469 Enrollment ID: I20161213000016 |
| Provider Name | Kerry Litke |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215230677 PECOS PAC ID: 3476887290 Enrollment ID: I20190628000462 |
| Provider Name | Theresa M Ramponi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962977652 PECOS PAC ID: 4082948807 Enrollment ID: I20190628000602 |
| Provider Name | Shaune Christopher Martin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992281950 PECOS PAC ID: 5294147013 Enrollment ID: I20201218000762 |
| Provider Name | Sarah M Fedorchuck |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598284879 PECOS PAC ID: 2466868674 Enrollment ID: I20210315000871 |
| Provider Name | Patricia Elliott |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790359222 PECOS PAC ID: 2769881556 Enrollment ID: I20210527001465 |
| Provider Name | Maegan Renshaw |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497145924 PECOS PAC ID: 6204220502 Enrollment ID: I20220302002961 |
| Provider Name | Jennifer Tara Cohen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225507767 PECOS PAC ID: 1456737618 Enrollment ID: I20220926003455 |
| Provider Name | Jennette Miller |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780995563 PECOS PAC ID: 6608243811 Enrollment ID: I20221101001056 |
| Provider Name | Alyssa Ackerson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083182778 PECOS PAC ID: 4981072311 Enrollment ID: I20221116001376 |
| Provider Name | Jeannine Cleaver |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336591924 PECOS PAC ID: 7517396781 Enrollment ID: I20221210000472 |
| Provider Name | Cathiann Velez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518523141 PECOS PAC ID: 6709257033 Enrollment ID: I20230125001316 |
| Provider Name | Claudia A Carmona Botero |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285123554 PECOS PAC ID: 7416312749 Enrollment ID: I20230420001428 |
| Provider Name | Angela Aguilar |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811656507 PECOS PAC ID: 0840655189 Enrollment ID: I20230420001613 |
| Provider Name | Geralyn Jones |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861167801 PECOS PAC ID: 6800253048 Enrollment ID: I20230605000618 |
| Provider Name | Patricia Hennessy |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1407449788 PECOS PAC ID: 8921451311 Enrollment ID: I20240201002781 |
| Provider Name | Nicole Smith |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1639701667 PECOS PAC ID: 5092158683 Enrollment ID: I20240212000503 |
| Provider Name | Klaritza Guadalupe Armenta |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1326449455 PECOS PAC ID: 3971946393 Enrollment ID: I20240213000872 |
| Provider Name | Mikayla E Bozym |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1831558550 PECOS PAC ID: 8022452481 Enrollment ID: I20240214001086 |
Connecticut Behavioral Health Assoc. P.c. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 41 Fair Harbour Pl, New London, CT 06320 Phone: 860-437-6910 Fax: 860-437-6920 | |
Cultivate & Grow Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 302 State St Suite 307, New London, CT 06320 Phone: 860-639-7728 | |
Lorraine Labarre, L.c.s.w. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 400 Bayonet St, Suite 202, New London, CT 06320 Phone: 860-443-4163 | |
Recover 12 Solutions, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 70 Fuller St, New London, CT 06320 Phone: 860-389-4327 Fax: 860-574-9676 | |
Child And Family Agency Of Southeastern Connecticut, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7 Vauxhall St, New London, CT 06320 Phone: 860-437-4550 | |
Spectrum Family Therapy Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 75 Granite St Ste 1b, New London, CT 06320 Phone: 860-857-4114 | |
Empowering Connections Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 164 Hempstead St, New London, CT 06320 Phone: 860-910-4881 |