| Shared Journey, LLC | |
|
30 Main St Fl 1 East Haven CT 06512-2506 | |
| (203) 680-0903 | |
| Not Available |
| Full Name | Shared Journey, LLC |
|---|---|
| Speciality | Social Worker |
| Location | 30 Main St Fl 1, East Haven, Connecticut |
| Authorized Official Name and Position | Renee Marie Dekin (OWNER) |
| Authorized Official Contact | 2036800903 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Shared Journey, LLC 30 Main St Fl 1 East Haven CT 06512-2506 Ph: (203) 680-0903 | Shared Journey, LLC 30 Main St Fl 1 East Haven CT 06512-2506 Ph: (203) 680-0903 |
| NPI Number | 1255200507 |
|---|---|
| Provider Enumeration Date | 11/04/2025 |
| Last Update Date | 11/04/2025 |
| Certification Date | 11/04/2025 |
| Medicare PECOS PAC ID | 9931693116 |
|---|---|
| Medicare Enrollment ID | O20251215002695 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255200507 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | () | Primary |
| Provider Name | Renee Marie Dekin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508736679 PECOS PAC ID: 0840784021 Enrollment ID: I20251215002775 |
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