| Single Step, Llc | |
|
363 Main St Middletown CT 06457-3359 | |
| (860) 759-3926 | |
| (203) 439-2087 |
| Full Name | Single Step, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 363 Main St, Middletown, Connecticut |
| Authorized Official Name and Position | Janice Keeman (OWNER) |
| Authorized Official Contact | 8607593926 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Single Step, Llc 363 Main St Middletown CT 06457-3359 Ph: (860) 759-3926 | Single Step, Llc 363 Main St Middletown CT 06457-3359 Ph: (860) 759-3926 |
| NPI Number | 1518494202 |
|---|---|
| Provider Enumeration Date | 05/12/2017 |
| Last Update Date | 12/01/2017 |
| Medicare PECOS PAC ID | 5294092870 |
|---|---|
| Medicare Enrollment ID | O20171207000353 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518494202 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | (* (Not Available)) | Primary |
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Secondary |
| Provider Name | Janice Keeman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407868946 PECOS PAC ID: 4385609932 Enrollment ID: I20041123000837 |
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