| Dagmara Niecikowski, Llc | |
|
45 Russell St New Britain CT 06052-1312 | |
| (860) 348-3371 | |
| (860) 612-0087 |
| Full Name | Dagmara Niecikowski, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 45 Russell St, New Britain, Connecticut |
| Authorized Official Name and Position | Dagmara Niecikowski (LCSW) |
| Authorized Official Contact | 8603483371 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dagmara Niecikowski, Llc 33 Renn Ln Berlin CT 06037-3589 Ph: (860) 748-5644 | Dagmara Niecikowski, Llc 45 Russell St New Britain CT 06052-1312 Ph: (860) 348-3371 |
| NPI Number | 1255896064 |
|---|---|
| Provider Enumeration Date | 02/06/2019 |
| Last Update Date | 07/21/2020 |
| Certification Date | 07/21/2020 |
| Medicare PECOS PAC ID | 0648696567 |
|---|---|
| Medicare Enrollment ID | O20200821001235 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255896064 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| Provider Name | Dagmara K. Niecikowski |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972821536 PECOS PAC ID: 1557787470 Enrollment ID: I20200821001464 |
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