| Jewish Family Service Of Stamford, Inc. | |
|
733 Summer St Suite 602 Stamford CT 06901-1081 | |
| (203) 921-4161 | |
| (203) 921-4169 |
| Full Name | Jewish Family Service Of Stamford, Inc. |
|---|---|
| Speciality | Social Worker |
| Location | 733 Summer St, Stamford, Connecticut |
| Authorized Official Name and Position | Matt Greenberg (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 2039214161 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jewish Family Service Of Stamford, Inc. 733 Summer St Suite 602 Stamford CT 06901-1081 Ph: (203) 921-4161 | Jewish Family Service Of Stamford, Inc. 733 Summer St Suite 602 Stamford CT 06901-1081 Ph: (203) 921-4161 |
| NPI Number | 1346291861 |
|---|---|
| Provider Enumeration Date | 05/12/2006 |
| Last Update Date | 01/06/2017 |
| Medicare PECOS PAC ID | 9335124361 |
|---|---|
| Medicare Enrollment ID | O20040623000081 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346291861 | NPI | - | NPPES |
| 004179942 | Medicaid | CT |
| Provider Name | Sharon M Harris |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770005100 PECOS PAC ID: 5799741443 Enrollment ID: I20041206000129 |
| Provider Name | Matt Greenberg |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659651800 PECOS PAC ID: 1052396082 Enrollment ID: I20131107000866 |
| Provider Name | Brian Ullman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871902502 PECOS PAC ID: 8426279936 Enrollment ID: I20141027002020 |
| Provider Name | Amanda Hirsch-geffner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275603805 PECOS PAC ID: 1759503204 Enrollment ID: I20141118000371 |
| Provider Name | Laura E Petiford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689818148 PECOS PAC ID: 3971892936 Enrollment ID: I20160513000853 |
| Provider Name | Anna Marie Birchenough |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073278735 PECOS PAC ID: 4981098613 Enrollment ID: I20220223001697 |
| Provider Name | Rebekah Kanefsky |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1649630799 PECOS PAC ID: 8820440837 Enrollment ID: I20240116000681 |
| Provider Name | Diane Ferber |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1386225092 PECOS PAC ID: 3476994807 Enrollment ID: I20240515003972 |
| Provider Name | Hannah Rebecca Pollack |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063274850 PECOS PAC ID: 1658817994 Enrollment ID: I20240723004179 |
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