| Robert J. Cleveland, Lcsw, Llc | |
|
39 New London Turnpike Suite 320 Glastonbury CT 06033 | |
| (860) 652-5139 | |
| (866) 704-3161 |
| Full Name | Robert J. Cleveland, Lcsw, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 39 New London Turnpike, Glastonbury, Connecticut |
| Authorized Official Name and Position | Robert J Cleveland (OWNER / PSYCHOTHERAPIST) |
| Authorized Official Contact | 8606525139 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Robert J. Cleveland, Lcsw, Llc 11 Saddlegate Lane Vernon CT 06066 Ph: (860) 652-5139 | Robert J. Cleveland, Lcsw, Llc 39 New London Turnpike Suite 320 Glastonbury CT 06033 Ph: (860) 652-5139 |
| NPI Number | 1093082380 |
|---|---|
| Provider Enumeration Date | 11/30/2011 |
| Last Update Date | 11/30/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093082380 | NPI | - | NPPES |
| 004265816 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 005931 (Connecticut) | Primary |
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