| Kindred Psychotherapy And Consultation Pllc | |
|
555 Highland Ave # 21 Cheshire CT 06410-2255 | |
| (860) 305-2727 | |
| Not Available |
| Full Name | Kindred Psychotherapy And Consultation Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 555 Highland Ave # 21, Cheshire, Connecticut |
| Authorized Official Name and Position | Alana Dipesa (OWNER) |
| Authorized Official Contact | 8603052727 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kindred Psychotherapy And Consultation Pllc Po Box 406 Morris CT 06763-0406 Ph: (860) 305-2727 | Kindred Psychotherapy And Consultation Pllc 555 Highland Ave # 21 Cheshire CT 06410-2255 Ph: (860) 305-2727 |
| NPI Number | 1427706688 |
|---|---|
| Provider Enumeration Date | 03/16/2022 |
| Last Update Date | 04/14/2022 |
| Certification Date | 03/16/2022 |
| Medicare PECOS PAC ID | 3870980238 |
|---|---|
| Medicare Enrollment ID | O20220504000137 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427706688 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Alana C Dipesa |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689075772 PECOS PAC ID: 6800178070 Enrollment ID: I20170124000019 |
| Provider Name | Danielle M Marinucci |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639515463 PECOS PAC ID: 2860753076 Enrollment ID: I20180305001509 |
| Provider Name | Laurie Giemza |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013417849 PECOS PAC ID: 3274896063 Enrollment ID: I20180409000914 |
| Provider Name | Tracy A Gilbert |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881168870 PECOS PAC ID: 8729319199 Enrollment ID: I20191016001430 |
| Provider Name | Jennifer Lynne Kenworthy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093412306 PECOS PAC ID: 6406201433 Enrollment ID: I20231011003543 |
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