| Connections Community Support Programs, Inc. | |
|
3821 Lancaster Pike Wilmington DE 19805-1512 | |
| (302) 230-9102 | |
| (302) 984-3329 |
| Full Name | Connections Community Support Programs, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 3821 Lancaster Pike, Wilmington, Delaware |
| Authorized Official Name and Position | Jevon Z Hicks (DIRECTOR) |
| Authorized Official Contact | 3023772358 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Connections Community Support Programs, Inc. 3821 Lancaster Pike Wilmington DE 19805-1512 Ph: (302) 442-6622 | Connections Community Support Programs, Inc. 3821 Lancaster Pike Wilmington DE 19805-1512 Ph: (302) 230-9102 |
| NPI Number | 1689733792 |
|---|---|
| Provider Enumeration Date | 12/06/2006 |
| Last Update Date | 06/07/2021 |
| Certification Date | 06/07/2021 |
| Medicare PECOS PAC ID | 0042290686 |
|---|---|
| Medicare Enrollment ID | O20040723000144 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689733792 | NPI | - | NPPES |
| Provider Name | Jose R Capiro |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1881630507 PECOS PAC ID: 8224028733 Enrollment ID: I20040517000457 |
| Provider Name | Sughanda Khanna |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1326018060 PECOS PAC ID: 7315926532 Enrollment ID: I20060503000358 |
| Provider Name | Scott D Houser |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093844771 PECOS PAC ID: 0840211835 Enrollment ID: I20070709000095 |
| Provider Name | Gerald Mehalick |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1689791097 PECOS PAC ID: 9234221813 Enrollment ID: I20070828000166 |
| Provider Name | Anis Ahmed |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1407877202 PECOS PAC ID: 1850587502 Enrollment ID: I20101122000103 |
| Provider Name | Tina M Cubeta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184907743 PECOS PAC ID: 5193998961 Enrollment ID: I20111024000673 |
| Provider Name | Saundra A Dewar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467670315 PECOS PAC ID: 3577730456 Enrollment ID: I20120117000654 |
| Provider Name | Nancy Ann M Cleary |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922232685 PECOS PAC ID: 9133386527 Enrollment ID: I20120214000380 |
| Provider Name | Stephanie Mcdonnaugh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821209677 PECOS PAC ID: 2264682285 Enrollment ID: I20121026000480 |
| Provider Name | Stephane Sia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376963975 PECOS PAC ID: 7911122155 Enrollment ID: I20140717000694 |
| Provider Name | Akinlawon Ayeni |
|---|---|
| Provider Type | Practitioner - Addiction Medicine |
| Provider Identifiers | NPI Number: 1821167149 PECOS PAC ID: 4981782331 Enrollment ID: I20150423000384 |
| Provider Name | Melissa Schneck |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154442259 PECOS PAC ID: 8921327743 Enrollment ID: I20150429001137 |
| Provider Name | Shekayla Hooks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801262712 PECOS PAC ID: 6608184510 Enrollment ID: I20150925001900 |
| Provider Name | Carol A Johnson Krumm |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356585806 PECOS PAC ID: 4385949890 Enrollment ID: I20160222001269 |
| Provider Name | Hallie Katrina Dennison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568852358 PECOS PAC ID: 5890015317 Enrollment ID: I20160426001371 |
| Provider Name | Michelle R Marcantuno |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568726669 PECOS PAC ID: 4284923475 Enrollment ID: I20160511000864 |
| Provider Name | Brenda Blackiston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255787511 PECOS PAC ID: 1759671357 Enrollment ID: I20160610000842 |
| Provider Name | Stephanie D Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124577895 PECOS PAC ID: 2961782032 Enrollment ID: I20161220000693 |
| Provider Name | Cheryl J Grant |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1821530197 PECOS PAC ID: 4183905268 Enrollment ID: I20170104000055 |
| Provider Name | Leah J Patterson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386946069 PECOS PAC ID: 2365711306 Enrollment ID: I20170706001476 |
| Provider Name | Leslie R Pryor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467571109 PECOS PAC ID: 2567476823 Enrollment ID: I20170821003005 |
| Provider Name | Fanta Schwarz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700329331 PECOS PAC ID: 7517239684 Enrollment ID: I20170824000930 |
| Provider Name | Erin Cliffe |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811427123 PECOS PAC ID: 5991079097 Enrollment ID: I20170927002527 |
| Provider Name | Jamy G Rivera |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154608834 PECOS PAC ID: 7416213293 Enrollment ID: I20171110001351 |
| Provider Name | Julie K Morris |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972923811 PECOS PAC ID: 5991927519 Enrollment ID: I20171122000104 |
| Provider Name | Jay Cantor |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821170630 PECOS PAC ID: 2860637584 Enrollment ID: I20171130002659 |
| Provider Name | Steven W Studer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124263363 PECOS PAC ID: 2567722036 Enrollment ID: I20180131002114 |
| Provider Name | Henry Luu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306864947 PECOS PAC ID: 6406025568 Enrollment ID: I20180201002115 |
| Provider Name | Catherine Asem |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275805335 PECOS PAC ID: 1456675784 Enrollment ID: I20180423001879 |
| Provider Name | Susana Larvie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265638985 PECOS PAC ID: 8820347784 Enrollment ID: I20181024001272 |
| Provider Name | Patience D Agbeviadey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942775051 PECOS PAC ID: 8921352550 Enrollment ID: I20181116001065 |
| Provider Name | Crystal A Amoah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053856138 PECOS PAC ID: 6507142320 Enrollment ID: I20190423000895 |
| Provider Name | Amanda Pope |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528625902 PECOS PAC ID: 3274868740 Enrollment ID: I20190708000142 |
| Provider Name | Victor Hillaert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215396395 PECOS PAC ID: 0345539508 Enrollment ID: I20190709002028 |
| Provider Name | Kaleishia R Hoskins |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073962494 PECOS PAC ID: 8123435740 Enrollment ID: I20210327000152 |
| Provider Name | Oluyemisi A Okudele |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881146702 PECOS PAC ID: 2365859543 Enrollment ID: I20210406001631 |
| Provider Name | Patricia Ayers |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366865958 PECOS PAC ID: 4183033731 Enrollment ID: I20210511001829 |
| Provider Name | Jed E Derrickson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164518668 PECOS PAC ID: 9436429727 Enrollment ID: I20210511002982 |
| Provider Name | Diana Davidson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598145146 PECOS PAC ID: 7719287325 Enrollment ID: I20210513000033 |
| Provider Name | Sheila T Walker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164944518 PECOS PAC ID: 4183023476 Enrollment ID: I20210518001948 |
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