| Simsbury Counseling Center Pllc | |
|
1 Mill Pond Lane Suite 9 Simsbury CT 06070-2485 | |
| (860) 952-3100 | |
| Not Available |
| Full Name | Simsbury Counseling Center Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 1 Mill Pond Lane Suite 9, Simsbury, Connecticut |
| Authorized Official Name and Position | Jennifer Mowry (OWNER) |
| Authorized Official Contact | 8609182678 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Simsbury Counseling Center Pllc 1 Mill Pond Lane Suite 9 Simsbury CT 06070-2485 Ph: (860) 918-2678 | Simsbury Counseling Center Pllc 1 Mill Pond Lane Suite 9 Simsbury CT 06070-2485 Ph: (860) 952-3100 |
| NPI Number | 1003376096 |
|---|---|
| Provider Enumeration Date | 03/25/2019 |
| Last Update Date | 09/01/2023 |
| Certification Date | 09/01/2023 |
| Medicare PECOS PAC ID | 2567819964 |
|---|---|
| Medicare Enrollment ID | O20231107000819 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003376096 | NPI | - | NPPES |
| 006042 | Other | CT | LCSW |
| 004263787 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Jennifer F Mowry |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316030117 PECOS PAC ID: 9638176399 Enrollment ID: I20061023000459 |
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