| Deborah Malatesta Lcsw Ladc Llc | |
|
14 Trumbull St New Haven CT 06511-6312 | |
| (203) 233-6036 | |
| Not Available |
| Full Name | Deborah Malatesta Lcsw Ladc Llc |
|---|---|
| Speciality | Social Worker |
| Location | 14 Trumbull St, New Haven, Connecticut |
| Authorized Official Name and Position | Deborah Malatesta (LICENSED CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 2032336036 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Deborah Malatesta Lcsw Ladc Llc 14 Trumbull St New Haven CT 06511-6312 Ph: (203) 233-6036 | Deborah Malatesta Lcsw Ladc Llc 14 Trumbull St New Haven CT 06511-6312 Ph: (203) 233-6036 |
| NPI Number | 1215304431 |
|---|---|
| Provider Enumeration Date | 08/24/2015 |
| Last Update Date | 08/24/2015 |
| Medicare PECOS PAC ID | 6103172143 |
|---|---|
| Medicare Enrollment ID | O20180706000230 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215304431 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 7137 (Connecticut) | Primary |
| Provider Name | Deborah L Malatesta |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346448966 PECOS PAC ID: 3173879988 Enrollment ID: I20180710001983 |
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