| Rebecca L. Petersen, Lcsw, Llc | |
|
147 Durham Rd Oak Park Madison CT 06443-2675 | |
| (860) 227-6839 | |
| Not Available |
| Full Name | Rebecca L. Petersen, Lcsw, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 147 Durham Rd, Madison, Connecticut |
| Authorized Official Name and Position | Rebecca Lee Petersen (OWNER/PSYCHOTHERAPIST) |
| Authorized Official Contact | 8602276839 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rebecca L. Petersen, Lcsw, Llc 1 Vaccinium Way Old Lyme CT 06371-2809 Ph: (860) 227-6839 | Rebecca L. Petersen, Lcsw, Llc 147 Durham Rd Oak Park Madison CT 06443-2675 Ph: (860) 227-6839 |
| NPI Number | 1437535580 |
|---|---|
| Provider Enumeration Date | 07/30/2015 |
| Last Update Date | 07/30/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437535580 | NPI | - | NPPES |
| 008056034 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 008697 (Connecticut) | Primary |
Leigh Nathan, Md Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 85b Wall Street, Madison, CT 06443 Phone: 860-222-0828 | |
Barbara L Baycroft Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 10 School St, Madison, CT 06443 Phone: 203-245-5645 Fax: 203-245-5648 | |
Shoreline Christian Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 145 Durham Rd, Mailbox 7, Madison, CT 06443 Phone: 203-318-0070 Fax: 206-339-8205 | |
Jlb Therapy Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 762 Boston Post Rd, Madison, CT 06443 Phone: 860-575-3491 | |
Madison Youth And Family Services Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 10 School St, Madison, CT 06443 Phone: 203-245-5645 | |
Empower Therapy & Wellness Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 786 Boston Post Rd # 203, Madison, CT 06443 Phone: 203-640-8349 | |
Art And Soul Art Therapy, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 149 Durham Rd, Madison, CT 06443 Phone: 203-350-3717 |