| Erin Gardner-flores, Lcsw, Llc | |
|
428 Long Hill Rd Groton CT 06340-3811 | |
| (860) 367-7788 | |
| Not Available |
| Full Name | Erin Gardner-flores, Lcsw, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 428 Long Hill Rd, Groton, Connecticut |
| Authorized Official Name and Position | Erin Gardner-flores (OWNER) |
| Authorized Official Contact | 8603677788 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Erin Gardner-flores, Lcsw, Llc 8 Courtland Dr Groton CT 06340-3830 Ph: () - | Erin Gardner-flores, Lcsw, Llc 428 Long Hill Rd Groton CT 06340-3811 Ph: (860) 367-7788 |
| NPI Number | 1033618277 |
|---|---|
| Provider Enumeration Date | 02/02/2018 |
| Last Update Date | 06/16/2018 |
| Medicare PECOS PAC ID | 2668711524 |
|---|---|
| Medicare Enrollment ID | O20190312000312 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033618277 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 007485 (Connecticut) | Primary |
| Provider Name | Erin Gardner-flores |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346416435 PECOS PAC ID: 6103003694 Enrollment ID: I20110609000620 |
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