Relational Abuse Resource Center Llc | |
180 Post Rd E Ste 208 Westport CT 06880-3414 | |
(203) 306-5855 | |
Not Available |
Full Name | Relational Abuse Resource Center Llc |
---|---|
Speciality | Social Worker |
Location | 180 Post Rd E Ste 208, Westport, Connecticut |
Authorized Official Name and Position | Elisa Lederer (LCSW) |
Authorized Official Contact | 2033065855 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Relational Abuse Resource Center Llc 4 Jarvis St Norwalk CT 06851-2824 Ph: (203) 306-5855 | Relational Abuse Resource Center Llc 180 Post Rd E Ste 208 Westport CT 06880-3414 Ph: (203) 306-5855 |
NPI Number | 1639952682 |
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Provider Enumeration Date | 08/15/2023 |
Last Update Date | 08/15/2023 |
Certification Date | 08/11/2023 |
Medicare PECOS PAC ID | 3577088681 |
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Medicare Enrollment ID | O20250422001959 |
Identifier | Type | State | Issuer |
---|---|---|---|
1639952682 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Provider Name | Elisa Lederer |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1912278094 PECOS PAC ID: 4486179595 Enrollment ID: I20250422002034 |
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