| Multicultural Consciousness, Llc | |
|
1372 Summer St Ste 203 Stamford CT 06905-5361 | |
| (203) 308-1418 | |
| (914) 937-2568 |
| Full Name | Multicultural Consciousness, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1372 Summer St Ste 203, Stamford, Connecticut |
| Authorized Official Name and Position | Cheryl Peggy Lopez (MEMBER/OWNER) |
| Authorized Official Contact | 2033081418 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Multicultural Consciousness, Llc 14 Fawcett St Port Chester NY 10573-5226 Ph: (203) 308-1418 | Multicultural Consciousness, Llc 1372 Summer St Ste 203 Stamford CT 06905-5361 Ph: (203) 308-1418 |
| NPI Number | 1467088799 |
|---|---|
| Provider Enumeration Date | 03/18/2020 |
| Last Update Date | 10/16/2020 |
| Certification Date | 10/15/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467088799 | NPI | - | NPPES |
| 1710322391 | Other | NY | COMMERCIAL INSURANCE |
| 1710322391 | Medicaid | NY | |
| 1710322391 | Other | CT | COMMERCIAL INSURANCE |
| 1710322391 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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