| Clearview Therapy, Llc. | |
|
925 Sullivan Ave Unit 2 South Windsor CT 06074-2025 | |
| (860) 432-7771 | |
| (860) 432-7774 |
| Full Name | Clearview Therapy, Llc. |
|---|---|
| Speciality | Social Worker |
| Location | 925 Sullivan Ave, South Windsor, Connecticut |
| Authorized Official Name and Position | Tracy Lewis (OWNER) |
| Authorized Official Contact | 8604327771 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Clearview Therapy, Llc. 925 Sullivan Ave Unit 2 South Windsor CT 06074-2025 Ph: (860) 432-7771 | Clearview Therapy, Llc. 925 Sullivan Ave Unit 2 South Windsor CT 06074-2025 Ph: (860) 432-7771 |
| NPI Number | 1144614074 |
|---|---|
| Provider Enumeration Date | 03/28/2015 |
| Last Update Date | 07/01/2015 |
| Medicare PECOS PAC ID | 8123339181 |
|---|---|
| Medicare Enrollment ID | O20150617000551 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144614074 | NPI | - | NPPES |
| 008058253 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 0006994 (Connecticut) | Primary |
| Provider Name | Tracy M Lewis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093947657 PECOS PAC ID: 2264584549 Enrollment ID: I20090717000022 |
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