| Simone Social Support Llc | |
|
8 Island Ln West Haven CT 06516-6200 | |
| (203) 804-5510 | |
| Not Available |
| Full Name | Simone Social Support Llc |
|---|---|
| Speciality | Social Worker |
| Location | 8 Island Ln, West Haven, Connecticut |
| Authorized Official Name and Position | Monique Simone (OWNER) |
| Authorized Official Contact | 2038711320 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Simone Social Support Llc 8 Island Ln West Haven CT 06516-6200 Ph: (203) 804-5510 | Simone Social Support Llc 8 Island Ln West Haven CT 06516-6200 Ph: (203) 804-5510 |
| NPI Number | 1902445265 |
|---|---|
| Provider Enumeration Date | 01/03/2020 |
| Last Update Date | 01/03/2020 |
| Certification Date | 01/03/2020 |
| Medicare PECOS PAC ID | 6406281047 |
|---|---|
| Medicare Enrollment ID | O20200109000057 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902445265 | NPI | - | NPPES |
| 1730626045 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Monique N Simone |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730626045 PECOS PAC ID: 6406281054 Enrollment ID: I20200109000307 |
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