| Riverstone Counseling LLC | |
|
37 River Rd Deep River CT 06417-2117 | |
| (860) 391-3647 | |
| Not Available |
| Full Name | Riverstone Counseling LLC |
|---|---|
| Speciality | Social Worker |
| Location | 37 River Rd, Deep River, Connecticut |
| Authorized Official Name and Position | Kerry Smith (PROVIDER) |
| Authorized Official Contact | 8603913647 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Riverstone Counseling LLC 37 River Rd Deep River CT 06417-2117 Ph: (860) 391-3647 | Riverstone Counseling LLC 37 River Rd Deep River CT 06417-2117 Ph: (860) 391-3647 |
| NPI Number | 1689568396 |
|---|---|
| Provider Enumeration Date | 06/06/2025 |
| Last Update Date | 06/06/2025 |
| Certification Date | 06/06/2025 |
| Medicare PECOS PAC ID | 0547768830 |
|---|---|
| Medicare Enrollment ID | O20250806004272 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689568396 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | () | Primary |
| Provider Name | Kerry Smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043711039 PECOS PAC ID: 8729586029 Enrollment ID: I20250806004352 |
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