| Community Health Resources, Inc. | |
|
2 Waterside Xing Ste 401 Windsor CT 06095-1588 | |
| (860) 731-5522 | |
| (860) 731-5536 |
| Full Name | Community Health Resources, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 2 Waterside Xing Ste 401, Windsor, Connecticut |
| Authorized Official Name and Position | Kim Kennedy (EXECUTIVE ASSISTANT) |
| Authorized Official Contact | 8606973364 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Health Resources, Inc. 2 Waterside Xing Ste 401 Windsor CT 06095-1588 Ph: (860) 731-5522 | Community Health Resources, Inc. 2 Waterside Xing Ste 401 Windsor CT 06095-1588 Ph: (860) 731-5522 |
| NPI Number | 1215979810 |
|---|---|
| Provider Enumeration Date | 06/11/2006 |
| Last Update Date | 10/01/2020 |
| Certification Date | 10/01/2020 |
| Medicare PECOS PAC ID | 5597652149 |
|---|---|
| Medicare Enrollment ID | O20040301000155 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215979810 | NPI | - | NPPES |
| 004249654 | Medicaid | CT |
| Provider Name | Helen E Bradley |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1104832401 PECOS PAC ID: 4385530559 Enrollment ID: I20040225000066 |
| Provider Name | Coleen Dobo |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1477625150 PECOS PAC ID: 7719874361 Enrollment ID: I20040301000178 |
| Provider Name | Monique Terese Sherman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841361227 PECOS PAC ID: 7810885886 Enrollment ID: I20040310000463 |
| Provider Name | Steven H Madonick |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1417050360 PECOS PAC ID: 8325035850 Enrollment ID: I20040427001479 |
| Provider Name | Michelle C Steele |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578604666 PECOS PAC ID: 7911976675 Enrollment ID: I20040929000451 |
| Provider Name | Olga Selikhov |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235161084 PECOS PAC ID: 0446212070 Enrollment ID: I20041027000356 |
| Provider Name | Maryjoan J Picone |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609000470 PECOS PAC ID: 2769449875 Enrollment ID: I20041210000036 |
| Provider Name | Matthew P Lemaster |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1518031160 PECOS PAC ID: 1456346733 Enrollment ID: I20041210000256 |
| Provider Name | Sharon K Petrone |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083785463 PECOS PAC ID: 3375584956 Enrollment ID: I20050513000064 |
| Provider Name | Elysa M Doherty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386621266 PECOS PAC ID: 1951347822 Enrollment ID: I20050630000445 |
| Provider Name | Donna J Camerota |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851453617 PECOS PAC ID: 7911922943 Enrollment ID: I20051010000452 |
| Provider Name | Ann Therese Haydu |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225108509 PECOS PAC ID: 9032137906 Enrollment ID: I20051109000440 |
| Provider Name | Nathan R Massey |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1093746026 PECOS PAC ID: 0749201325 Enrollment ID: I20051212000007 |
| Provider Name | Teodora Andrei |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1912065715 PECOS PAC ID: 3476596842 Enrollment ID: I20060120000729 |
| Provider Name | Michael C Probert |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720178130 PECOS PAC ID: 0244231009 Enrollment ID: I20070122000156 |
| Provider Name | Jennifer Doutre |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710101191 PECOS PAC ID: 3476652439 Enrollment ID: I20070616000031 |
| Provider Name | Nancy Brassard |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821279670 PECOS PAC ID: 3375626161 Enrollment ID: I20080218000305 |
| Provider Name | Patricia M Baginski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801052279 PECOS PAC ID: 6103987011 Enrollment ID: I20081211000033 |
| Provider Name | Sarah L Amenta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750526042 PECOS PAC ID: 6709941024 Enrollment ID: I20090219000327 |
| Provider Name | Asha Qusba |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1457386914 PECOS PAC ID: 5597815449 Enrollment ID: I20090615000514 |
| Provider Name | Gina M Chiara |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396068821 PECOS PAC ID: 7214065309 Enrollment ID: I20100511000585 |
| Provider Name | Michael J Dewberry |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1053574442 PECOS PAC ID: 3870787500 Enrollment ID: I20101027000315 |
| Provider Name | Ayaz T Madraswalla |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902899859 PECOS PAC ID: 5092846121 Enrollment ID: I20101110000003 |
| Provider Name | Margie Maldonado |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881717254 PECOS PAC ID: 5698868008 Enrollment ID: I20110207000845 |
| Provider Name | Irja C Welch |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821247396 PECOS PAC ID: 6406033109 Enrollment ID: I20110607000083 |
| Provider Name | Lisa Odgren |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518136803 PECOS PAC ID: 2769676832 Enrollment ID: I20110713000226 |
| Provider Name | Theresa Nowinski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962560599 PECOS PAC ID: 5496943052 Enrollment ID: I20110722000501 |
| Provider Name | Heidi M Smolka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124329461 PECOS PAC ID: 7810169091 Enrollment ID: I20111012000283 |
| Provider Name | Andrea Michelle Quick |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710205356 PECOS PAC ID: 7719154483 Enrollment ID: I20120120000169 |
| Provider Name | James S Andersen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275764649 PECOS PAC ID: 8820254436 Enrollment ID: I20120726000393 |
| Provider Name | Carol Aprn Whelan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902963325 PECOS PAC ID: 9638326424 Enrollment ID: I20120830000122 |
| Provider Name | Heidi Schiff Hart |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811281660 PECOS PAC ID: 4688819865 Enrollment ID: I20130315000311 |
| Provider Name | Natasha Welz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336467042 PECOS PAC ID: 6103068234 Enrollment ID: I20130820000156 |
| Provider Name | Caitlin R Rival |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1003254251 PECOS PAC ID: 3274777040 Enrollment ID: I20130917000393 |
| Provider Name | Denise A Demers |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013344308 PECOS PAC ID: 0042440521 Enrollment ID: I20140228001504 |
| Provider Name | Mary C D Amico |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710312533 PECOS PAC ID: 4981836905 Enrollment ID: I20140407000163 |
| Provider Name | Janice A Reeder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144642604 PECOS PAC ID: 0749403475 Enrollment ID: I20140527000282 |
| Provider Name | Ann-elizabeth Grabowski |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184997132 PECOS PAC ID: 8921224700 Enrollment ID: I20140731001166 |
| Provider Name | Elizabeth K Smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396094165 PECOS PAC ID: 4082835095 Enrollment ID: I20141016000440 |
| Provider Name | Mohit Manandhar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1053624361 PECOS PAC ID: 1456573567 Enrollment ID: I20141105000569 |
| Provider Name | Ashley Wilson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194092049 PECOS PAC ID: 8426370164 Enrollment ID: I20141208000462 |
| Provider Name | Kathryn A Proulx |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1376621615 PECOS PAC ID: 0941481709 Enrollment ID: I20150102001331 |
| Provider Name | Lynda R Dunlop |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013312206 PECOS PAC ID: 5991029522 Enrollment ID: I20150130000483 |
| Provider Name | Sarah Matus |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295076115 PECOS PAC ID: 3173842846 Enrollment ID: I20150430000651 |
| Provider Name | Jennifer Schmitt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184963100 PECOS PAC ID: 5496074866 Enrollment ID: I20150506001879 |
| Provider Name | Elizabeth C Alve-hedegaard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033596499 PECOS PAC ID: 8426360389 Enrollment ID: I20150707000181 |
| Provider Name | Lisa Preble |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114364726 PECOS PAC ID: 7517279268 Enrollment ID: I20150708003142 |
| Provider Name | Marylliam Gagne |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427430503 PECOS PAC ID: 0749597623 Enrollment ID: I20150910001325 |
| Provider Name | James Deloughery |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699100198 PECOS PAC ID: 9335457498 Enrollment ID: I20151009001064 |
| Provider Name | Laura Ruoff |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1679520324 PECOS PAC ID: 2668470691 Enrollment ID: I20160226000792 |
| Provider Name | Deborah Manzano |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1295895332 PECOS PAC ID: 9234152208 Enrollment ID: I20160321001177 |
| Provider Name | Daniel C. Carini |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265839450 PECOS PAC ID: 8224328182 Enrollment ID: I20160606000345 |
| Provider Name | Katharine Wilson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982035655 PECOS PAC ID: 0042503534 Enrollment ID: I20160720002880 |
| Provider Name | Lindsay Pratt-bluemle |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548684160 PECOS PAC ID: 4880987007 Enrollment ID: I20160726002164 |
| Provider Name | Sara Walker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497155600 PECOS PAC ID: 7719271378 Enrollment ID: I20160805000159 |
| Provider Name | Melissa L Mitchell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700296126 PECOS PAC ID: 3779878772 Enrollment ID: I20160829002558 |
| Provider Name | Shelley A Christ |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972959039 PECOS PAC ID: 8123342102 Enrollment ID: I20161007000648 |
| Provider Name | Jennifer Gardner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194149377 PECOS PAC ID: 4587943162 Enrollment ID: I20161123000344 |
| Provider Name | Emily K Kloo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821497397 PECOS PAC ID: 8729368691 Enrollment ID: I20161212000417 |
| Provider Name | Michael Paglione |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457633935 PECOS PAC ID: 7214210673 Enrollment ID: I20170208002229 |
| Provider Name | Kathleen Pariseau |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124119904 PECOS PAC ID: 9830474923 Enrollment ID: I20170403001688 |
| Provider Name | Alison Schneider |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114247962 PECOS PAC ID: 2567748981 Enrollment ID: I20170419000047 |
| Provider Name | Leslie Mendelbaum |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649705658 PECOS PAC ID: 9537437926 Enrollment ID: I20170607000832 |
| Provider Name | Jennifer Pasion-blocker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821343237 PECOS PAC ID: 0042589889 Enrollment ID: I20170710002924 |
| Provider Name | Gillian Taber |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467771790 PECOS PAC ID: 7618241084 Enrollment ID: I20170922003285 |
| Provider Name | Jason Ramos |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952791543 PECOS PAC ID: 4880969427 Enrollment ID: I20171006000678 |
| Provider Name | Danielle W Turner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215463369 PECOS PAC ID: 4688940158 Enrollment ID: I20171027002036 |
| Provider Name | Annette O'neill |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942681820 PECOS PAC ID: 6709142789 Enrollment ID: I20171107002552 |
| Provider Name | Brittania A.g Liebla |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689190670 PECOS PAC ID: 3476819111 Enrollment ID: I20171113001618 |
| Provider Name | Grier Stanley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760612477 PECOS PAC ID: 6002173788 Enrollment ID: I20171205002677 |
| Provider Name | Julie M Hoagland |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689972242 PECOS PAC ID: 8628336575 Enrollment ID: I20171222000099 |
| Provider Name | Ramon Estrada |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629453014 PECOS PAC ID: 2961755012 Enrollment ID: I20181019001107 |
| Provider Name | Caitlyn Ogilvie |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427257054 PECOS PAC ID: 4789920166 Enrollment ID: I20190104002363 |
| Provider Name | Elsa Reyes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003358177 PECOS PAC ID: 0749526069 Enrollment ID: I20190108001445 |
| Provider Name | Kaitlin S Schmidt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003359738 PECOS PAC ID: 3678819869 Enrollment ID: I20190109000692 |
| Provider Name | Yolanda Liriano |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265977276 PECOS PAC ID: 8426394537 Enrollment ID: I20190110002294 |
| Provider Name | Tavia Briscoe |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073965661 PECOS PAC ID: 9830436161 Enrollment ID: I20190124002695 |
| Provider Name | John Jacob |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245616549 PECOS PAC ID: 9335481118 Enrollment ID: I20190426000261 |
| Provider Name | Katherine A Golar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376608364 PECOS PAC ID: 9537309570 Enrollment ID: I20190502000672 |
| Provider Name | Susana T Doolittle |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942688486 PECOS PAC ID: 3870827876 Enrollment ID: I20190625003117 |
| Provider Name | Carolina Nowakowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669023818 PECOS PAC ID: 8426380239 Enrollment ID: I20191126002425 |
| Provider Name | Christaina Wabeke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801439146 PECOS PAC ID: 1759714686 Enrollment ID: I20191209000351 |
| Provider Name | Rebecca E Fischer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326204181 PECOS PAC ID: 2466754320 Enrollment ID: I20191218000934 |
| Provider Name | Jessica W. Sormrude |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457865099 PECOS PAC ID: 3476981325 Enrollment ID: I20200309000257 |
| Provider Name | David A Winokur |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1134272024 PECOS PAC ID: 0840620670 Enrollment ID: I20200420000786 |
| Provider Name | Jasmine Fenton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134640279 PECOS PAC ID: 7719301993 Enrollment ID: I20200721002219 |
| Provider Name | Marlanda Hamilton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780197988 PECOS PAC ID: 7810313889 Enrollment ID: I20200820003074 |
| Provider Name | Abigail Collins |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053688929 PECOS PAC ID: 7214347764 Enrollment ID: I20201112000125 |
| Provider Name | Paula Jasminski |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275093213 PECOS PAC ID: 0244641306 Enrollment ID: I20201120000130 |
| Provider Name | David Kenefick |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508250895 PECOS PAC ID: 6103237979 Enrollment ID: I20201130001620 |
| Provider Name | Meghan A Hansen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669984993 PECOS PAC ID: 5991116485 Enrollment ID: I20201207000496 |
| Provider Name | Sarah Aftab |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790232692 PECOS PAC ID: 0345653978 Enrollment ID: I20201228002412 |
| Provider Name | Taryn Westfall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891316113 PECOS PAC ID: 9739593203 Enrollment ID: I20210123000085 |
| Provider Name | Sheneese Denelle Charles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578164935 PECOS PAC ID: 7810301041 Enrollment ID: I20210130000266 |
| Provider Name | Michelle D Jefferson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275199747 PECOS PAC ID: 8628482643 Enrollment ID: I20210202001245 |
| Provider Name | Desiree Nicole Emirzian |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669948428 PECOS PAC ID: 5395151807 Enrollment ID: I20210309000125 |
| Provider Name | Helen Ricketts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932784956 PECOS PAC ID: 3577971720 Enrollment ID: I20210428000595 |
| Provider Name | Jayann Pinto-samuda |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407408115 PECOS PAC ID: 3870902307 Enrollment ID: I20210512002388 |
| Provider Name | Robin Deutsch |
|---|---|
| Provider Type | Practitioner - Addiction Medicine |
| Provider Identifiers | NPI Number: 1457663239 PECOS PAC ID: 5991024218 Enrollment ID: I20210519002041 |
| Provider Name | Leslie A Galvin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790353381 PECOS PAC ID: 0446650089 Enrollment ID: I20210617003044 |
| Provider Name | Katherine Moreau |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841444031 PECOS PAC ID: 7810392727 Enrollment ID: I20210816001777 |
| Provider Name | Robyn Stoll-lyons |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396096145 PECOS PAC ID: 9739584558 Enrollment ID: I20210817002640 |
| Provider Name | Jodi Sammartino |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013477058 PECOS PAC ID: 9931504362 Enrollment ID: I20210824001981 |
| Provider Name | Mallory Alexis Freeman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255009056 PECOS PAC ID: 2567850928 Enrollment ID: I20211104000523 |
| Provider Name | Megan E Mclaughlin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003418799 PECOS PAC ID: 4789073503 Enrollment ID: I20211117001902 |
| Provider Name | Lisette Rodriguez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396121687 PECOS PAC ID: 8729470091 Enrollment ID: I20220118001525 |
| Provider Name | Katherine Fontaine |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013172311 PECOS PAC ID: 2163607227 Enrollment ID: I20220222001085 |
| Provider Name | Lisa Pepin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447874656 PECOS PAC ID: 5496140857 Enrollment ID: I20220322000437 |
| Provider Name | Erika N Skaret |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699363507 PECOS PAC ID: 8729466198 Enrollment ID: I20220526001534 |
| Provider Name | Steven A Gatte |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407470495 PECOS PAC ID: 6002238904 Enrollment ID: I20220812002972 |
| Provider Name | T'keyah B Dailey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639654536 PECOS PAC ID: 2961878590 Enrollment ID: I20221021001487 |
| Provider Name | Brian Andrew Bracci |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316070691 PECOS PAC ID: 8820466675 Enrollment ID: I20221129000337 |
| Provider Name | Victor R Acevedo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265185722 PECOS PAC ID: 0244600245 Enrollment ID: I20230109002348 |
| Provider Name | Caitlyn Dion |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932568698 PECOS PAC ID: 5890165716 Enrollment ID: I20230110000853 |
| Provider Name | Janet Guthrie |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699420943 PECOS PAC ID: 8628449865 Enrollment ID: I20230125002269 |
| Provider Name | Chrystal Aline Canova |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063995124 PECOS PAC ID: 7214308378 Enrollment ID: I20230127001417 |
| Provider Name | Kerisha S Prince |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861107591 PECOS PAC ID: 5496127516 Enrollment ID: I20230217001040 |
| Provider Name | Melody Poitras |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770131419 PECOS PAC ID: 8729451729 Enrollment ID: I20230222000252 |
| Provider Name | Michael G Soneson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376960724 PECOS PAC ID: 7315310869 Enrollment ID: I20230302002078 |
| Provider Name | Brenda L Bryant |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316690399 PECOS PAC ID: 8921472192 Enrollment ID: I20230330000878 |
| Provider Name | Tonya R Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306581335 PECOS PAC ID: 5991165763 Enrollment ID: I20230712003521 |
| Provider Name | Joyce G Peeples |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114437316 PECOS PAC ID: 7012361595 Enrollment ID: I20231003000481 |
| Provider Name | Lauren E Polzella |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508386509 PECOS PAC ID: 6800241902 Enrollment ID: I20231010001564 |
| Provider Name | Venessa Stowell Samuel-steinmetz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881368439 PECOS PAC ID: 4486000213 Enrollment ID: I20231030003152 |
| Provider Name | Julie A Gorman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790416105 PECOS PAC ID: 8628424231 Enrollment ID: I20231101003320 |
| Provider Name | Nour Alfares |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548928559 PECOS PAC ID: 1456701747 Enrollment ID: I20231228003206 |
| Provider Name | Pratima Upadhyay |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1336561141 PECOS PAC ID: 7618328501 Enrollment ID: I20240104002240 |
| Provider Name | Eryn Winans |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1497141451 PECOS PAC ID: 4880045749 Enrollment ID: I20240104004698 |
| Provider Name | Azra Lupacchino |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1497276190 PECOS PAC ID: 0941651590 Enrollment ID: I20240108004101 |
| Provider Name | Elizabeth M Peterson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1043777949 PECOS PAC ID: 8729439385 Enrollment ID: I20240108004291 |
| Provider Name | Eileen Daigle |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1205227295 PECOS PAC ID: 7012368590 Enrollment ID: I20240109002656 |
| Provider Name | Erin Marie Graffam |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1952611360 PECOS PAC ID: 3173974524 Enrollment ID: I20240110000874 |
| Provider Name | Candacy Caesar Heywood |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1255864286 PECOS PAC ID: 6305297755 Enrollment ID: I20240110001084 |
| Provider Name | Lauren Rooney |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1487128229 PECOS PAC ID: 1052762440 Enrollment ID: I20240110002572 |
| Provider Name | Angelica Luz Rodriguez |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1346875713 PECOS PAC ID: 1850742271 Enrollment ID: I20240110003475 |
| Provider Name | Cassandra M Holmes |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1346891710 PECOS PAC ID: 1355792607 Enrollment ID: I20240110004883 |
| Provider Name | Fabiola Robertson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1376995514 PECOS PAC ID: 2668823824 Enrollment ID: I20240111004024 |
| Provider Name | Michael Wilson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1861562399 PECOS PAC ID: 2961854062 Enrollment ID: I20240113000046 |
| Provider Name | Sophia Taylor-edwards |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679957070 PECOS PAC ID: 9931551256 Enrollment ID: I20240122004331 |
| Provider Name | Jacqueline Marjorie Edwards |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1356912083 PECOS PAC ID: 7719339928 Enrollment ID: I20240123002698 |
| Provider Name | Colette C Wilson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1437928975 PECOS PAC ID: 2365894508 Enrollment ID: I20240123003880 |
| Provider Name | Amani Gill |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1952902306 PECOS PAC ID: 8527410760 Enrollment ID: I20240123003946 |
| Provider Name | Amie Amato |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1245452580 PECOS PAC ID: 5193177350 Enrollment ID: I20240123004630 |
| Provider Name | Erica C King |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1578223558 PECOS PAC ID: 5698128775 Enrollment ID: I20240124004143 |
| Provider Name | Luke Dery |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1518458637 PECOS PAC ID: 4981057056 Enrollment ID: I20240125002092 |
| Provider Name | Christina Raymond |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1255860375 PECOS PAC ID: 5092168161 Enrollment ID: I20240125002407 |
| Provider Name | Jasminka Hasan Grgas |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1831258854 PECOS PAC ID: 2365895018 Enrollment ID: I20240129003665 |
| Provider Name | Mariah Langlois |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1134890155 PECOS PAC ID: 1951744846 Enrollment ID: I20240207003559 |
| Provider Name | Brian Kenneth Brennan |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1912441023 PECOS PAC ID: 2062860554 Enrollment ID: I20240208000157 |
| Provider Name | Jared Whipple |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1780191585 PECOS PAC ID: 3971946625 Enrollment ID: I20240209000109 |
| Provider Name | Wilma Rivera |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1801362389 PECOS PAC ID: 8325481906 Enrollment ID: I20240212000268 |
| Provider Name | Nicholas Gaughan |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1093071136 PECOS PAC ID: 5890138317 Enrollment ID: I20240212001664 |
| Provider Name | Heather Simson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487197117 PECOS PAC ID: 1355785742 Enrollment ID: I20240213003509 |
| Provider Name | Emily Soucy |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1750851184 PECOS PAC ID: 6103260047 Enrollment ID: I20240219001925 |
| Provider Name | Suzanne Sustaita |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1427579580 PECOS PAC ID: 1557706058 Enrollment ID: I20240223002405 |
| Provider Name | Lynnette Cardone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972214310 PECOS PAC ID: 4981049459 Enrollment ID: I20240224000473 |
| Provider Name | Vernell Sabrina-nicole Peggins-russell |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1851637714 PECOS PAC ID: 2961847314 Enrollment ID: I20240226002156 |
| Provider Name | Anna Pappalardo |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1487054466 PECOS PAC ID: 1557772993 Enrollment ID: I20240229003273 |
| Provider Name | Tiffani Unique Martinez |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1609581602 PECOS PAC ID: 7618312554 Enrollment ID: I20240229004096 |
| Provider Name | Zelda Wanstok |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033882600 PECOS PAC ID: 6901241850 Enrollment ID: I20240229004456 |
| Provider Name | Aida Iris Diaz-la Cilento |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1801142799 PECOS PAC ID: 8527403328 Enrollment ID: I20240304000727 |
| Provider Name | Kelly Alice Rowan |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1689811846 PECOS PAC ID: 0446696827 Enrollment ID: I20240307001833 |
| Provider Name | Grace E Scott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851155311 PECOS PAC ID: 4082050380 Enrollment ID: I20240308002295 |
| Provider Name | Amy M St. Pierre |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1063782084 PECOS PAC ID: 8325476245 Enrollment ID: I20240312001035 |
| Provider Name | Tyler C Beckwith |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1235737065 PECOS PAC ID: 2961848825 Enrollment ID: I20240313003771 |
| Provider Name | Shawn William Tardif |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1851921340 PECOS PAC ID: 6204273816 Enrollment ID: I20240319001200 |
| Provider Name | Miguel Olmo |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1972024925 PECOS PAC ID: 5395182745 Enrollment ID: I20240321002174 |
| Provider Name | Hayley Paquette |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295310852 PECOS PAC ID: 5092152447 Enrollment ID: I20240321002261 |
| Provider Name | Jarlyn Phillips |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1548674245 PECOS PAC ID: 0446697569 Enrollment ID: I20240326000709 |
| Provider Name | Chanalee Marshall |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1578027496 PECOS PAC ID: 3678910635 Enrollment ID: I20240326002498 |
| Provider Name | Kimberly Jewell |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1265966493 PECOS PAC ID: 7517310659 Enrollment ID: I20240329001165 |
| Provider Name | Agata Zietek |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1992366603 PECOS PAC ID: 1456799972 Enrollment ID: I20240403002035 |
| Provider Name | Brittany Flibbert |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1063065563 PECOS PAC ID: 0749628006 Enrollment ID: I20240404003958 |
| Provider Name | Heather S Vasquez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396469011 PECOS PAC ID: 7911346507 Enrollment ID: I20240416000609 |
| Provider Name | Diana Giordano |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1124489851 PECOS PAC ID: 4082053517 Enrollment ID: I20240417002027 |
| Provider Name | David Goldwerd |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1528457975 PECOS PAC ID: 0143669523 Enrollment ID: I20240418000400 |
| Provider Name | Rachel Ocampo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073930202 PECOS PAC ID: 2365881588 Enrollment ID: I20240419002001 |
| Provider Name | Patrick F Muro |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396442836 PECOS PAC ID: 8426498098 Enrollment ID: I20240430000851 |
| Provider Name | Phetsamon Dilullo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982168688 PECOS PAC ID: 8022458348 Enrollment ID: I20240502002822 |
| Provider Name | Elizabeth Torres |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1205123312 PECOS PAC ID: 2163863168 Enrollment ID: I20240508001429 |
| Provider Name | Jahnna R Sieckowski |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841916988 PECOS PAC ID: 5294176723 Enrollment ID: I20240514004129 |
| Provider Name | Kelly Minor |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699122721 PECOS PAC ID: 5698054807 Enrollment ID: I20240522000658 |
| Provider Name | Kiajuana M Dailey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144097510 PECOS PAC ID: 4284076084 Enrollment ID: I20240524001309 |
| Provider Name | Lori Bergeron |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1184095960 PECOS PAC ID: 8123460656 Enrollment ID: I20240529001844 |
| Provider Name | Daniella M Minelli |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1124763156 PECOS PAC ID: 0941642201 Enrollment ID: I20240531002092 |
| Provider Name | Corey L James |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043050958 PECOS PAC ID: 8921540840 Enrollment ID: I20240606003948 |
| Provider Name | Serginho Walker |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1679113088 PECOS PAC ID: 2567906696 Enrollment ID: I20240701001833 |
| Provider Name | Dejah D Ford |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417597576 PECOS PAC ID: 3173068897 Enrollment ID: I20240717001899 |
| Provider Name | Katelynn Blair Grabowski |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1518610070 PECOS PAC ID: 3375089253 Enrollment ID: I20240727000081 |
| Provider Name | Angela Farmer |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1811630999 PECOS PAC ID: 6406393115 Enrollment ID: I20240730004781 |
| Provider Name | Faith Elizabeth Whitbeck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932956125 PECOS PAC ID: 4688114721 Enrollment ID: I20240904002991 |
| Provider Name | David Ernst |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710596747 PECOS PAC ID: 8426598426 Enrollment ID: I20240905000543 |
| Provider Name | Jomarys Morales |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326873415 PECOS PAC ID: 4284175415 Enrollment ID: I20240916001405 |
| Provider Name | Christopher R Raposo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982152641 PECOS PAC ID: 5991246126 Enrollment ID: I20240916001509 |
| Provider Name | Tracy Lynn Smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366723637 PECOS PAC ID: 5294266235 Enrollment ID: I20241002000727 |
| Provider Name | Devin Mary Daly |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1699223909 PECOS PAC ID: 5698104404 Enrollment ID: I20241008000008 |
| Provider Name | Michael R Guibord |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1275629008 PECOS PAC ID: 3375075732 Enrollment ID: I20241010002326 |
| Provider Name | Alessia Ritacco |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316432917 PECOS PAC ID: 2163762543 Enrollment ID: I20241022001294 |
| Provider Name | Karen D Menyfield |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1245906189 PECOS PAC ID: 3577096759 Enrollment ID: I20241025003044 |
| Provider Name | Jillian Russell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023658564 PECOS PAC ID: 1254867476 Enrollment ID: I20241211003699 |
| Provider Name | Kimberly A Campbell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447066048 PECOS PAC ID: 9133657091 Enrollment ID: I20250107000613 |
| Provider Name | Marybel Salmon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578394680 PECOS PAC ID: 3072041706 Enrollment ID: I20250109000819 |
| Provider Name | Lorraine Marie Kenowski |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1932431467 PECOS PAC ID: 0446780159 Enrollment ID: I20250211002052 |
| Provider Name | Mary Ann Francis |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1548627243 PECOS PAC ID: 4587184379 Enrollment ID: I20250224002408 |
| Provider Name | Amani Shirley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437722212 PECOS PAC ID: 2466973847 Enrollment ID: I20250303001756 |
| Provider Name | Marissa Nicole Engel |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1588175467 PECOS PAC ID: 3375064587 Enrollment ID: I20250304003069 |
| Provider Name | Rachel Sponzo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013578509 PECOS PAC ID: 9739600222 Enrollment ID: I20250313001265 |
| Provider Name | Jasmine Byrd |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1851829089 PECOS PAC ID: 1456872944 Enrollment ID: I20250313001309 |
| Provider Name | Erin Zurheide |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1013643865 PECOS PAC ID: 0042659641 Enrollment ID: I20250314001831 |
| Provider Name | Catherine Jones |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851887913 PECOS PAC ID: 3476075656 Enrollment ID: I20250317003434 |
| Provider Name | Heather Lynn Vandyke-cardona |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1043417660 PECOS PAC ID: 0042734642 Enrollment ID: I20250404000831 |
| Provider Name | Marisol Tromley |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1528296522 PECOS PAC ID: 4789108937 Enrollment ID: I20250409000598 |
| Provider Name | Megan Fenton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902510464 PECOS PAC ID: 7810411758 Enrollment ID: I20250411002510 |
| Provider Name | Abigail Litrenta |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881175115 PECOS PAC ID: 4789109588 Enrollment ID: I20250415000158 |
| Provider Name | Wayne Thompson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528210846 PECOS PAC ID: 4082139555 Enrollment ID: I20250416003394 |
| Provider Name | Faith Glenn |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1659033835 PECOS PAC ID: 2567987837 Enrollment ID: I20250418001273 |
| Provider Name | Kristi Lynn Collins |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1831811736 PECOS PAC ID: 8426575531 Enrollment ID: I20250512001378 |
| Provider Name | Amy L Gagne |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1619105053 PECOS PAC ID: 4688715378 Enrollment ID: I20250515001795 |
| Provider Name | Megan Anniello |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902555907 PECOS PAC ID: 8921526369 Enrollment ID: I20250519003062 |
| Provider Name | Alexander Marquis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912415936 PECOS PAC ID: 5597284737 Enrollment ID: I20250521002124 |
| Provider Name | Khalil R Bradley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205574613 PECOS PAC ID: 9830618909 Enrollment ID: I20250522000766 |
| Provider Name | Elijah M Legassie |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891501359 PECOS PAC ID: 8426567561 Enrollment ID: I20250602000734 |
| Provider Name | Claire Wheeler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396341905 PECOS PAC ID: 1557872090 Enrollment ID: I20250612003221 |
Hope And Healing Counseling Ct Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 360 Bloomfield Ave Ste 301, Windsor, CT 06095 Phone: 201-665-3066 Fax: 973-200-8137 | |
Step With Purpose Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 20 Seymour St, Windsor, CT 06095 Phone: 860-761-5594 | |
Creative Interventions, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 835 Bloomfield Ave, Windsor, CT 06095 Phone: 860-413-9538 Fax: 860-838-4241 | |
Mental Health Solutions Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6 Poquonock Ave, Windsor, CT 06095 Phone: 860-966-2341 Fax: 860-285-8744 | |
Soebrown Wellness Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 56 Poquonock Ave, Windsor, CT 06095 Phone: 860-752-5669 | |
Re-envisioned Life Clinical Services Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 213 Windsor Ave Fl 1, Windsor, CT 06095 Phone: 860-816-2311 | |
2nd Chances Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 30 Maple Ave Ste B-2, Windsor, CT 06095 Phone: 860-386-8024 Fax: 800-989-4601 |