| Maureen E Emery Lcsw1 Pllc | |
|
290 Hartford Ave East Granby CT 06026-9524 | |
| (860) 836-8884 | |
| Not Available |
| Full Name | Maureen E Emery Lcsw1 Pllc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 290 Hartford Ave, East Granby, Connecticut |
| Authorized Official Name and Position | Maureen Elizabeth Emery (OWNER) |
| Authorized Official Contact | 8608368884 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Maureen E Emery Lcsw1 Pllc 290 Hartford Ave East Granby CT 06026-9524 Ph: (860) 413-9487 | Maureen E Emery Lcsw1 Pllc 290 Hartford Ave East Granby CT 06026-9524 Ph: (860) 836-8884 |
| NPI Number | 1841825304 |
|---|---|
| Provider Enumeration Date | 03/05/2020 |
| Last Update Date | 01/08/2021 |
| Certification Date | 01/08/2021 |
| Medicare PECOS PAC ID | 9931525599 |
|---|---|
| Medicare Enrollment ID | O20200813002680 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841825304 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Maureen Elizabeth Emery |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174164446 PECOS PAC ID: 1759613060 Enrollment ID: I20191105002341 |
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