| Clifford W. Beers Guidance Clinic Inc | |
|
93 Edwards St New Haven CT 06511-3933 | |
| (203) 772-1270 | |
| (203) 772-0051 |
| Full Name | Clifford W. Beers Guidance Clinic Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 93 Edwards St, New Haven, Connecticut |
| Authorized Official Name and Position | Frank Lavelle (DIRECTOR OF PROJECT MANAGEMENT) |
| Authorized Official Contact | 2037721270 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Clifford W. Beers Guidance Clinic Inc 93 Edwards St New Haven CT 06511-3933 Ph: (203) 772-1270 | Clifford W. Beers Guidance Clinic Inc 93 Edwards St New Haven CT 06511-3933 Ph: (203) 772-1270 |
| NPI Number | 1073526968 |
|---|---|
| Provider Enumeration Date | 08/14/2006 |
| Last Update Date | 03/07/2022 |
| Certification Date | 03/07/2022 |
| Medicare PECOS PAC ID | 1951771054 |
|---|---|
| Medicare Enrollment ID | O20230106000581 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073526968 | NPI | - | NPPES |
| 004039178 | Medicaid | CT |
| Provider Name | Pramila Nathan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1366441933 PECOS PAC ID: 2769435114 Enrollment ID: I20071019000024 |
| Provider Name | Kaitlyn Marie Fenner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639504202 PECOS PAC ID: 0042672172 Enrollment ID: I20230821004116 |
| Provider Name | Kathleen M. Pavlik |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780833681 PECOS PAC ID: 6800246463 Enrollment ID: I20231221002715 |
| Provider Name | Lauren Weibrecht |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1043471790 PECOS PAC ID: 3476904558 Enrollment ID: I20240112003492 |
| Provider Name | Julianne Cioffi-smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174776363 PECOS PAC ID: 0840633798 Enrollment ID: I20240207002091 |
| Provider Name | Carly Trask-kuchta |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1801275334 PECOS PAC ID: 6901240563 Enrollment ID: I20240222000999 |
| Provider Name | Yvannie Barreiro |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1508583873 PECOS PAC ID: 0244675841 Enrollment ID: I20240305000495 |
| Provider Name | Sarah Casolo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487148961 PECOS PAC ID: 8820434210 Enrollment ID: I20240307002110 |
| Provider Name | Leeora Netter |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750053377 PECOS PAC ID: 6507202884 Enrollment ID: I20240308001395 |
| Provider Name | Courtney Ann Sherman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730824681 PECOS PAC ID: 0042656274 Enrollment ID: I20240311002624 |
Clifford Beers Clinic Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 93 Edwards St, New Haven, CT 06511 Phone: 203-772-1270 | |
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