| Jennifer Smith, Lcsw Llc | |
|
65 S Colony St Wallingford CT 06492-4150 | |
| (860) 581-0215 | |
| Not Available |
| Full Name | Jennifer Smith, Lcsw Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 65 S Colony St, Wallingford, Connecticut |
| Authorized Official Name and Position | Jennifer Smith (LCSW) |
| Authorized Official Contact | 8605810215 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Smith, Lcsw Llc 83 High Hill Rd Wallingford CT 06492-1903 Ph: () - | Jennifer Smith, Lcsw Llc 65 S Colony St Wallingford CT 06492-4150 Ph: (860) 581-0215 |
| NPI Number | 1023532819 |
|---|---|
| Provider Enumeration Date | 08/02/2017 |
| Last Update Date | 08/02/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023532819 | NPI | - | NPPES |
| 008057515 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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Visiting Nurse Association Of Wallingford, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 135 N Plains Industrial Rd, Wallingford, CT 06492 Phone: 203-269-1475 Fax: 203-265-5357 | |
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