| Karen Smith Lcsw Llc | |
|
580 Naugatuck Ave Milford CT 06461-4059 | |
| (475) 331-2100 | |
| (203) 283-7714 |
| Full Name | Karen Smith Lcsw Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 580 Naugatuck Ave, Milford, Connecticut |
| Authorized Official Name and Position | Karen Madeleine Smith (OWNER) |
| Authorized Official Contact | 4753312100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Karen Smith Lcsw Llc 16 Westminster Ct Milford CT 06461-1619 Ph: (475) 331-2100 | Karen Smith Lcsw Llc 580 Naugatuck Ave Milford CT 06461-4059 Ph: (475) 331-2100 |
| NPI Number | 1972013415 |
|---|---|
| Provider Enumeration Date | 10/11/2017 |
| Last Update Date | 10/11/2017 |
| Medicare PECOS PAC ID | 9537423918 |
|---|---|
| Medicare Enrollment ID | O20180511000556 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972013415 | NPI | - | NPPES |
| 004236148 | Medicaid | CT |
| Provider Name | Karen Madeleine Smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740555382 PECOS PAC ID: 4385874395 Enrollment ID: I20140312001797 |
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