| Step Up Care Pc Llc | |
|
111 Westcott Rd Danielson CT 06239-2929 | |
| (718) 298-4375 | |
| Not Available |
| Full Name | Step Up Care Pc Llc |
|---|---|
| Speciality | Counselor |
| Location | 111 Westcott Rd, Danielson, Connecticut |
| Authorized Official Name and Position | Naftali Weinberger (AO) |
| Authorized Official Contact | 7182984375 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Step Up Care Pc Llc 27 Randolph Rd Howell NJ 07731-8611 Ph: () - | Step Up Care Pc Llc 111 Westcott Rd Danielson CT 06239-2929 Ph: (718) 298-4375 |
| NPI Number | 1154884740 |
|---|---|
| Provider Enumeration Date | 04/10/2019 |
| Last Update Date | 07/23/2021 |
| Certification Date | 07/23/2021 |
| Medicare PECOS PAC ID | 5496088346 |
|---|---|
| Medicare Enrollment ID | O20190607000156 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154884740 | NPI | - | NPPES |
| Provider Name | Maria L. Zandonella |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558364174 PECOS PAC ID: 2567458433 Enrollment ID: I20040424000219 |
| Provider Name | Gail S Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053374009 PECOS PAC ID: 2264499169 Enrollment ID: I20041213000458 |
| Provider Name | Jay K Berkowitz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1255382396 PECOS PAC ID: 4688622319 Enrollment ID: I20050110000231 |
| Provider Name | Theresa Robinson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1639182728 PECOS PAC ID: 7517904766 Enrollment ID: I20050411000227 |
| Provider Name | Sheri S Kipperman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952496671 PECOS PAC ID: 3870530959 Enrollment ID: I20050411000506 |
| Provider Name | Keith A Richter |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972558716 PECOS PAC ID: 7214971852 Enrollment ID: I20050615000242 |
| Provider Name | Elysa M Doherty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386621266 PECOS PAC ID: 1951347822 Enrollment ID: I20050630000445 |
| Provider Name | Annemarie I Murphy |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1043295850 PECOS PAC ID: 4082642780 Enrollment ID: I20050803000477 |
| Provider Name | Jacqueline Dreyfus |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336356070 PECOS PAC ID: 3678583424 Enrollment ID: I20060425000275 |
| Provider Name | Susan C Feldman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134197684 PECOS PAC ID: 2769492321 Enrollment ID: I20060426000602 |
| Provider Name | Theresa Blackmer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629093794 PECOS PAC ID: 9335039684 Enrollment ID: I20060810000092 |
| Provider Name | Mary Ann Fieffer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932147675 PECOS PAC ID: 9830192731 Enrollment ID: I20060815000186 |
| Provider Name | Susan E Correll |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174695720 PECOS PAC ID: 4284633389 Enrollment ID: I20061219000553 |
| Provider Name | Andrew B Pleshkevich |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1891833729 PECOS PAC ID: 5890898902 Enrollment ID: I20070310000004 |
| Provider Name | Joann S Sloan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639220544 PECOS PAC ID: 6709989411 Enrollment ID: I20070319000396 |
| Provider Name | Brenda D Dixon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144378738 PECOS PAC ID: 1153422621 Enrollment ID: I20070727000423 |
| Provider Name | Mary Romajas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346446036 PECOS PAC ID: 2961598362 Enrollment ID: I20071017000237 |
| Provider Name | James Fox |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295841898 PECOS PAC ID: 1850489055 Enrollment ID: I20071126000268 |
| Provider Name | Rebecca Krusinski |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871791384 PECOS PAC ID: 7113017781 Enrollment ID: I20071219000579 |
| Provider Name | Asante K Mendes |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1114109212 PECOS PAC ID: 2961584008 Enrollment ID: I20080129000474 |
| Provider Name | Margaret Garrison |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1790974376 PECOS PAC ID: 1557441730 Enrollment ID: I20080204000329 |
| Provider Name | Karen Roy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427238500 PECOS PAC ID: 5597840272 Enrollment ID: I20080305000100 |
| Provider Name | Kayann A Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952371908 PECOS PAC ID: 1052325115 Enrollment ID: I20080508000580 |
| Provider Name | Michelle L Hufner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548335714 PECOS PAC ID: 8325118383 Enrollment ID: I20080603000026 |
| Provider Name | Kerri L Griffin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245273887 PECOS PAC ID: 9931271178 Enrollment ID: I20080703000587 |
| Provider Name | Deborah A Ellison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356508691 PECOS PAC ID: 4183797186 Enrollment ID: I20080724000385 |
| Provider Name | Linda Pike |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700943370 PECOS PAC ID: 5799785853 Enrollment ID: I20081007000511 |
| Provider Name | Carissa A Tufano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760639819 PECOS PAC ID: 1850452087 Enrollment ID: I20081206000101 |
| Provider Name | Maria R Sangiorgio |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1063412237 PECOS PAC ID: 9638075260 Enrollment ID: I20081215000653 |
| Provider Name | Christine Mccarthy |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1720232952 PECOS PAC ID: 7315001047 Enrollment ID: I20090126000141 |
| Provider Name | Heidi A Welch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700876000 PECOS PAC ID: 2264343680 Enrollment ID: I20090527000311 |
| Provider Name | Eugenia Dansinghani |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962646349 PECOS PAC ID: 5092865949 Enrollment ID: I20090615000467 |
| Provider Name | Kristen Browne |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700975059 PECOS PAC ID: 4789736711 Enrollment ID: I20090722000180 |
| Provider Name | Susan Ericson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700112174 PECOS PAC ID: 2365589884 Enrollment ID: I20091102000178 |
| Provider Name | Lori S Nevins |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033349568 PECOS PAC ID: 1355480781 Enrollment ID: I20091125000062 |
| Provider Name | Danielle Capozziello |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063741635 PECOS PAC ID: 0840335626 Enrollment ID: I20100304000326 |
| Provider Name | Melissa M Masse |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851625271 PECOS PAC ID: 5496880312 Enrollment ID: I20100317000807 |
| Provider Name | Julie A Denicola |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922320258 PECOS PAC ID: 1557498797 Enrollment ID: I20100421000004 |
| Provider Name | Bozena M Padykula |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164730032 PECOS PAC ID: 7517152358 Enrollment ID: I20101106000001 |
| Provider Name | Ewurama A Ampofo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376856112 PECOS PAC ID: 1052508421 Enrollment ID: I20101210000517 |
| Provider Name | Michele R Luzzi Muzyka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518160514 PECOS PAC ID: 9931388196 Enrollment ID: I20110120000807 |
| Provider Name | Wendy S Garvin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285950907 PECOS PAC ID: 8325227341 Enrollment ID: I20110124000603 |
| Provider Name | Vera Dolling-engmann |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255648101 PECOS PAC ID: 3678758984 Enrollment ID: I20110502000663 |
| Provider Name | Hilary Goduti |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831420215 PECOS PAC ID: 3971771627 Enrollment ID: I20110722000587 |
| Provider Name | Julie S Guilmette |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255582508 PECOS PAC ID: 7719157171 Enrollment ID: I20110823000684 |
| Provider Name | Shelley Berman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073894697 PECOS PAC ID: 9537330832 Enrollment ID: I20110917000013 |
| Provider Name | Taisha Z Santiago |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962770131 PECOS PAC ID: 2860669751 Enrollment ID: I20120117000746 |
| Provider Name | Ann-marie S Meacham |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447429204 PECOS PAC ID: 1850559766 Enrollment ID: I20120223000597 |
| Provider Name | Aura M Ardon |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1780839787 PECOS PAC ID: 2365600285 Enrollment ID: I20120223000749 |
| Provider Name | Tracie Preli-derwin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497014344 PECOS PAC ID: 8426213000 Enrollment ID: I20120705000221 |
| Provider Name | Jorge Aguilar Zanatta |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1477704971 PECOS PAC ID: 9335396969 Enrollment ID: I20120904000257 |
| Provider Name | Felipe Hernandez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619257862 PECOS PAC ID: 6406004639 Enrollment ID: I20120913000338 |
| Provider Name | Maryfrances L Desteno |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922374354 PECOS PAC ID: 9436308087 Enrollment ID: I20120926000125 |
| Provider Name | Nicole Dukett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457610800 PECOS PAC ID: 6103075965 Enrollment ID: I20121011000339 |
| Provider Name | Annetta Ruth Troche |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265780894 PECOS PAC ID: 2264683168 Enrollment ID: I20121126000435 |
| Provider Name | Elizabeth Krynicki |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790038735 PECOS PAC ID: 4284879180 Enrollment ID: I20130325000557 |
| Provider Name | Erica L Soto |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437431053 PECOS PAC ID: 6608018387 Enrollment ID: I20130808000439 |
| Provider Name | Batya Levitan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518395318 PECOS PAC ID: 5294961843 Enrollment ID: I20131204000541 |
| Provider Name | Deborah S Guidetti Gerwien |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821420563 PECOS PAC ID: 3173751492 Enrollment ID: I20140114000317 |
| Provider Name | Laura R Fitzgerald |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134553704 PECOS PAC ID: 6608004924 Enrollment ID: I20140114000407 |
| Provider Name | Onojeta E Ohwevwo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023360377 PECOS PAC ID: 9335362037 Enrollment ID: I20140528000617 |
| Provider Name | Natalie Walters |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902180276 PECOS PAC ID: 0547429151 Enrollment ID: I20140604000706 |
| Provider Name | John T Dukes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861699068 PECOS PAC ID: 4183840689 Enrollment ID: I20140718000199 |
| Provider Name | Lynda M Lombardi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992128128 PECOS PAC ID: 7618106550 Enrollment ID: I20140729000930 |
| Provider Name | Jade E Paradis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649679697 PECOS PAC ID: 0749401040 Enrollment ID: I20141030002035 |
| Provider Name | Patricia F Varma |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407255375 PECOS PAC ID: 6103148820 Enrollment ID: I20141209001246 |
| Provider Name | Jordan Hunt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982722062 PECOS PAC ID: 1658319900 Enrollment ID: I20150115001434 |
| Provider Name | Juleen Mason |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700284106 PECOS PAC ID: 4183940133 Enrollment ID: I20150310000931 |
| Provider Name | Rachel Sampson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1316077795 PECOS PAC ID: 4587981592 Enrollment ID: I20150331001201 |
| Provider Name | Sarah Bione-dunn |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1356579395 PECOS PAC ID: 9032438171 Enrollment ID: I20150512001267 |
| Provider Name | Keeley O Walcott |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487044202 PECOS PAC ID: 8022329838 Enrollment ID: I20150622000095 |
| Provider Name | Norris Haynes |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1598907156 PECOS PAC ID: 5496061152 Enrollment ID: I20150826002192 |
| Provider Name | Claudette Faucher Charles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124403415 PECOS PAC ID: 2264749233 Enrollment ID: I20150923003138 |
| Provider Name | Renee L Lacadie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265818355 PECOS PAC ID: 7618285008 Enrollment ID: I20151005002316 |
| Provider Name | Ellen Marie Galat |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1093725848 PECOS PAC ID: 8224347885 Enrollment ID: I20151021002007 |
| Provider Name | Felicia S Addae |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396112207 PECOS PAC ID: 3173832607 Enrollment ID: I20151022001634 |
| Provider Name | Loreen M Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285003988 PECOS PAC ID: 5193025278 Enrollment ID: I20151120001785 |
| Provider Name | Christina M Garcia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659753689 PECOS PAC ID: 3577864628 Enrollment ID: I20151215002693 |
| Provider Name | Deirdre Ekholdt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841562337 PECOS PAC ID: 5294998944 Enrollment ID: I20151218001127 |
| Provider Name | Okonta J Onyerikwu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417297508 PECOS PAC ID: 8123329992 Enrollment ID: I20151221001385 |
| Provider Name | April Walden |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346616141 PECOS PAC ID: 6103127717 Enrollment ID: I20151223000750 |
| Provider Name | Tulie P Brew |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114398385 PECOS PAC ID: 7911059969 Enrollment ID: I20160223001948 |
| Provider Name | Sallene S. Murphy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952672842 PECOS PAC ID: 6901102664 Enrollment ID: I20160308000179 |
| Provider Name | Fredo J Clermont |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649641150 PECOS PAC ID: 6002112455 Enrollment ID: I20160310000901 |
| Provider Name | Stephane Pady Clermont |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508237199 PECOS PAC ID: 7113212762 Enrollment ID: I20160823000159 |
| Provider Name | Jerri A Levenson Hamby |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124483144 PECOS PAC ID: 4587951900 Enrollment ID: I20160928000700 |
| Provider Name | Tanya L. Bingham |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851498174 PECOS PAC ID: 4981984366 Enrollment ID: I20161130000974 |
| Provider Name | Robin S Murdock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861943375 PECOS PAC ID: 1355621616 Enrollment ID: I20161205000504 |
| Provider Name | Melissa A Hurley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629357553 PECOS PAC ID: 9931489051 Enrollment ID: I20161207001676 |
| Provider Name | Lora Small |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437554730 PECOS PAC ID: 9830470376 Enrollment ID: I20161221001557 |
| Provider Name | Cenita Cruz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871918532 PECOS PAC ID: 6800178484 Enrollment ID: I20170113001495 |
| Provider Name | Lisa M Navarra |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386977890 PECOS PAC ID: 5193863397 Enrollment ID: I20170207001078 |
| Provider Name | Shantelle Brokaw |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114462561 PECOS PAC ID: 7517241177 Enrollment ID: I20170227000256 |
| Provider Name | Karolina Dudzik |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649713926 PECOS PAC ID: 6608150099 Enrollment ID: I20170302002142 |
| Provider Name | Awilda Lugo Mendez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821534215 PECOS PAC ID: 7517242134 Enrollment ID: I20170322002607 |
| Provider Name | Angela Hay |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891235198 PECOS PAC ID: 9638454085 Enrollment ID: I20170327000846 |
| Provider Name | Ellen Louise Sollazzo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821464017 PECOS PAC ID: 1052619574 Enrollment ID: I20170328001847 |
| Provider Name | Verona Sonia Gordon Khouri |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164957809 PECOS PAC ID: 9234406711 Enrollment ID: I20170605001940 |
| Provider Name | Cassandra Shepard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740718618 PECOS PAC ID: 9436422508 Enrollment ID: I20170912001926 |
| Provider Name | Louis Damora |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477079499 PECOS PAC ID: 9133495294 Enrollment ID: I20171018000991 |
| Provider Name | Violet R Kaman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861949497 PECOS PAC ID: 6103192273 Enrollment ID: I20171018001392 |
| Provider Name | Cindy L Mcgrath |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912320375 PECOS PAC ID: 7517224348 Enrollment ID: I20171201001939 |
| Provider Name | Amanda Surace Hanko |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1538673223 PECOS PAC ID: 7719245620 Enrollment ID: I20171226001882 |
| Provider Name | Pinky P Gaba |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780194324 PECOS PAC ID: 1850650797 Enrollment ID: I20180122002292 |
| Provider Name | Stephanie Larose |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235647181 PECOS PAC ID: 4385905876 Enrollment ID: I20180226000081 |
| Provider Name | Christina L Lapierre |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689181471 PECOS PAC ID: 0840551735 Enrollment ID: I20180312001189 |
| Provider Name | Annette Tirado |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659590131 PECOS PAC ID: 8527320373 Enrollment ID: I20180315000993 |
| Provider Name | Sheryl Apicella |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740781921 PECOS PAC ID: 4880956556 Enrollment ID: I20180315002063 |
| Provider Name | Georgina Twumasi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790284164 PECOS PAC ID: 5991068447 Enrollment ID: I20180413001680 |
| Provider Name | Jean Gauvin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1689801912 PECOS PAC ID: 6002066909 Enrollment ID: I20180423000432 |
| Provider Name | Lisa Iwanowski |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235394263 PECOS PAC ID: 7618230798 Enrollment ID: I20180425000341 |
| Provider Name | Melissa K Sweeney |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194133819 PECOS PAC ID: 8426313826 Enrollment ID: I20180606002187 |
| Provider Name | Zenna E Bell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639668221 PECOS PAC ID: 8628324787 Enrollment ID: I20180702002773 |
| Provider Name | Helen Ruth Sullivan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336630797 PECOS PAC ID: 4082960828 Enrollment ID: I20180709001918 |
| Provider Name | Cathleen R Codding |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477030633 PECOS PAC ID: 2163771502 Enrollment ID: I20180820000591 |
| Provider Name | Melinda Marie Hardy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023315942 PECOS PAC ID: 0547519068 Enrollment ID: I20180828000489 |
| Provider Name | Susan Marie Blayer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225172281 PECOS PAC ID: 0143570432 Enrollment ID: I20180907000343 |
| Provider Name | Lilliam Rodriguez |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1821375213 PECOS PAC ID: 3678836640 Enrollment ID: I20180920003242 |
| Provider Name | Dawn Lidstone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922403542 PECOS PAC ID: 1456678424 Enrollment ID: I20181004002792 |
| Provider Name | Bryna Lynn Pauker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609067370 PECOS PAC ID: 4082967963 Enrollment ID: I20181023000327 |
| Provider Name | Jamie Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326521873 PECOS PAC ID: 1456602127 Enrollment ID: I20181102000989 |
| Provider Name | Mitchell B Mines |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942213665 PECOS PAC ID: 6901159201 Enrollment ID: I20181105000505 |
| Provider Name | Tierra Oliver |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063811529 PECOS PAC ID: 3173879004 Enrollment ID: I20181107002350 |
| Provider Name | Lacy Kornilieff |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740755750 PECOS PAC ID: 3274887807 Enrollment ID: I20181116001149 |
| Provider Name | Samantha M Hague |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1134522592 PECOS PAC ID: 0648524140 Enrollment ID: I20181120001883 |
| Provider Name | Joanne M. Iurato |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558422410 PECOS PAC ID: 3173877677 Enrollment ID: I20181120002011 |
| Provider Name | Terry Kennedy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134364904 PECOS PAC ID: 6800140245 Enrollment ID: I20181121000610 |
| Provider Name | Nikia L Newkirk |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710235601 PECOS PAC ID: 3577807635 Enrollment ID: I20181130002110 |
| Provider Name | Tabitha A Wolchesky |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407209174 PECOS PAC ID: 9537404736 Enrollment ID: I20181217001044 |
| Provider Name | Angela Marie Virella |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124505714 PECOS PAC ID: 3476898958 Enrollment ID: I20190103000903 |
| Provider Name | Shellina R Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336614817 PECOS PAC ID: 5092051102 Enrollment ID: I20190110002234 |
| Provider Name | Lynn S. Swanson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073082343 PECOS PAC ID: 2961749486 Enrollment ID: I20190122003141 |
| Provider Name | Kate Nichols |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801350079 PECOS PAC ID: 4082952205 Enrollment ID: I20190214000547 |
| Provider Name | Keisha Clayton-fearon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891240776 PECOS PAC ID: 7517205446 Enrollment ID: I20190219000396 |
| Provider Name | Kevin Joseph Dobi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679687743 PECOS PAC ID: 5890796692 Enrollment ID: I20190306000774 |
| Provider Name | Jennifer Michelle D'eugenio |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891282356 PECOS PAC ID: 3577802644 Enrollment ID: I20190307000865 |
| Provider Name | Coreen Rogers |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558717256 PECOS PAC ID: 3375882442 Enrollment ID: I20190307000956 |
| Provider Name | Hannah Schacht |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265807887 PECOS PAC ID: 5799024865 Enrollment ID: I20190307001152 |
| Provider Name | Erin H Mccarthy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689181554 PECOS PAC ID: 8022357052 Enrollment ID: I20190308000762 |
| Provider Name | Andrew James Matusiak |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801331640 PECOS PAC ID: 9638419542 Enrollment ID: I20190312002536 |
| Provider Name | Helena Owusu Morris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477010288 PECOS PAC ID: 2365782919 Enrollment ID: I20190319002221 |
| Provider Name | Rebecca D. Addai |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134686827 PECOS PAC ID: 7911248679 Enrollment ID: I20190405000555 |
| Provider Name | Jeanne C Percy-rivera |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255809125 PECOS PAC ID: 0345581070 Enrollment ID: I20190408000886 |
| Provider Name | Erin Jackson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083171995 PECOS PAC ID: 0446591028 Enrollment ID: I20190409000148 |
| Provider Name | Donalda Isidore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407317670 PECOS PAC ID: 2163763624 Enrollment ID: I20190410000414 |
| Provider Name | Kerry-ann Mcpherson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396202784 PECOS PAC ID: 3779824834 Enrollment ID: I20190418000578 |
| Provider Name | Thamara Sterling |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407311988 PECOS PAC ID: 6305189119 Enrollment ID: I20190520000263 |
| Provider Name | Trudy Tamara Pearson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235621236 PECOS PAC ID: 4385987809 Enrollment ID: I20190523001517 |
| Provider Name | Stefanie Laccone Thach |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902140890 PECOS PAC ID: 2365785854 Enrollment ID: I20190524001804 |
| Provider Name | Katharine E Ferrone |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578077418 PECOS PAC ID: 2860735271 Enrollment ID: I20190528000245 |
| Provider Name | Holly Marie Cortella |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1265854467 PECOS PAC ID: 4981970282 Enrollment ID: I20190611000417 |
| Provider Name | Jaclyn Elizabeth Alessio |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902458359 PECOS PAC ID: 1850622762 Enrollment ID: I20191008000779 |
| Provider Name | Robert James Nesbitt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912225798 PECOS PAC ID: 2668703588 Enrollment ID: I20191008000858 |
| Provider Name | Brittney Jackson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639728231 PECOS PAC ID: 1850622713 Enrollment ID: I20191008002946 |
| Provider Name | Donaicis Alers |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720347685 PECOS PAC ID: 7719218015 Enrollment ID: I20191018000266 |
| Provider Name | Maureen Elizabeth Emery |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174164446 PECOS PAC ID: 1759613060 Enrollment ID: I20191105002341 |
| Provider Name | De'andrea Dillard |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063845766 PECOS PAC ID: 3678905874 Enrollment ID: I20191108001228 |
| Provider Name | Cheryl Daniel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548400468 PECOS PAC ID: 2264477868 Enrollment ID: I20191112001546 |
| Provider Name | Heather Louise Parenti |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336290451 PECOS PAC ID: 3870926470 Enrollment ID: I20191212002586 |
| Provider Name | Edward M. Bacigalupo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184633588 PECOS PAC ID: 2264789940 Enrollment ID: I20191219002622 |
| Provider Name | Kelley Kendall |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841646742 PECOS PAC ID: 0547694705 Enrollment ID: I20191220000893 |
| Provider Name | Azim Munivar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1902330509 PECOS PAC ID: 1658642830 Enrollment ID: I20191220001317 |
| Provider Name | Colin M Kush |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124586276 PECOS PAC ID: 5698100295 Enrollment ID: I20200108001179 |
| Provider Name | Brandy Michelle Kennerson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912545203 PECOS PAC ID: 7214362631 Enrollment ID: I20200113002220 |
| Provider Name | Shauntelle Barnaby |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134322977 PECOS PAC ID: 0042645012 Enrollment ID: I20200122000061 |
| Provider Name | Michelle Rumery |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154972123 PECOS PAC ID: 9739514712 Enrollment ID: I20200122000180 |
| Provider Name | Cassandra Aamodt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801355219 PECOS PAC ID: 6507291333 Enrollment ID: I20200123003151 |
| Provider Name | Monique Edwards |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760996946 PECOS PAC ID: 6709116569 Enrollment ID: I20200206001914 |
| Provider Name | Patricia Parks |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912303843 PECOS PAC ID: 1951737154 Enrollment ID: I20200206002274 |
| Provider Name | Lorianne Meus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255974770 PECOS PAC ID: 2163858960 Enrollment ID: I20200213001605 |
| Provider Name | Jessica W. Sormrude |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457865099 PECOS PAC ID: 3476981325 Enrollment ID: I20200309000257 |
| Provider Name | Thomas W. Murphy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811428618 PECOS PAC ID: 6103254974 Enrollment ID: I20200311000173 |
| Provider Name | Taylor Girard |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104344365 PECOS PAC ID: 7719315423 Enrollment ID: I20200311002124 |
| Provider Name | Joan Parks Jacobs |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770983967 PECOS PAC ID: 2567890890 Enrollment ID: I20200319000819 |
| Provider Name | Ursula Moreshead |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346759958 PECOS PAC ID: 5395173660 Enrollment ID: I20200319002188 |
| Provider Name | Ann Devine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073568101 PECOS PAC ID: 5395754212 Enrollment ID: I20200401000201 |
| Provider Name | Tami Mcmanus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487289633 PECOS PAC ID: 0648600908 Enrollment ID: I20200429000323 |
| Provider Name | David A Stayner |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1629698238 PECOS PAC ID: 1355772542 Enrollment ID: I20200501001563 |
| Provider Name | Patricia James |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861923120 PECOS PAC ID: 5395015788 Enrollment ID: I20200501001651 |
| Provider Name | Thomas Bondarchuk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093791469 PECOS PAC ID: 2860483310 Enrollment ID: I20200518001165 |
| Provider Name | Susan Dains |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265086706 PECOS PAC ID: 9234560640 Enrollment ID: I20200518002639 |
| Provider Name | Jonathan H Ausubel |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1457791949 PECOS PAC ID: 4183843873 Enrollment ID: I20200528001592 |
| Provider Name | Kristy-ann Borgia Cook |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225483233 PECOS PAC ID: 2668894445 Enrollment ID: I20200624001445 |
| Provider Name | Maria Magdalena Sanchez-spitz |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1407982804 PECOS PAC ID: 5092818815 Enrollment ID: I20200624001587 |
| Provider Name | Alexis R Brown |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1477719011 PECOS PAC ID: 2860525144 Enrollment ID: I20200706001707 |
| Provider Name | Rachel M Salerno |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1114235751 PECOS PAC ID: 0941215107 Enrollment ID: I20200708003283 |
| Provider Name | Zachary Stern |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1609494749 PECOS PAC ID: 1153744198 Enrollment ID: I20200708003359 |
| Provider Name | John W Denboer |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1932345279 PECOS PAC ID: 6608924634 Enrollment ID: I20200708003437 |
| Provider Name | Ena Edouard |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780962266 PECOS PAC ID: 6800219585 Enrollment ID: I20200714001822 |
| Provider Name | Kent E Rozel |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1821179805 PECOS PAC ID: 6608033162 Enrollment ID: I20200715002884 |
| Provider Name | Samuel A Wolde |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1275173536 PECOS PAC ID: 9739503426 Enrollment ID: I20200728003004 |
| Provider Name | Savitha Chandramohan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316571458 PECOS PAC ID: 4385069939 Enrollment ID: I20200730001076 |
| Provider Name | Nancy Key |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760092993 PECOS PAC ID: 9931200789 Enrollment ID: I20200803003026 |
| Provider Name | Kumeh Mae Bestman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659992204 PECOS PAC ID: 1153747860 Enrollment ID: I20200812001458 |
| Provider Name | Tonya Goodman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134738461 PECOS PAC ID: 7719305507 Enrollment ID: I20200910001398 |
| Provider Name | Nelson Leach |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194334359 PECOS PAC ID: 2567880818 Enrollment ID: I20200917002630 |
| Provider Name | Janet K Woronick |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396995288 PECOS PAC ID: 7719305846 Enrollment ID: I20200922000698 |
| Provider Name | Samuel Asare Asomaning |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881207595 PECOS PAC ID: 0345669594 Enrollment ID: I20201007002576 |
| Provider Name | Jennifer M Lapenta |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982701330 PECOS PAC ID: 5991125155 Enrollment ID: I20201009001075 |
| Provider Name | Anaica K Quao |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205460110 PECOS PAC ID: 0446670442 Enrollment ID: I20201013001606 |
| Provider Name | Latora Hall |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164831962 PECOS PAC ID: 1557781473 Enrollment ID: I20201015000109 |
| Provider Name | Leanne Marie Ajanaku |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275177248 PECOS PAC ID: 1456771807 Enrollment ID: I20201023001017 |
| Provider Name | Bradley Joseph Quirk |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316396575 PECOS PAC ID: 1951711910 Enrollment ID: I20201102001858 |
| Provider Name | David Ryan Shemanski |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275032138 PECOS PAC ID: 7517377252 Enrollment ID: I20201107000010 |
| Provider Name | Niccole Lambert-talhaoui |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578113858 PECOS PAC ID: 5890127039 Enrollment ID: I20201109002255 |
| Provider Name | Mekessia Richards-carby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033726856 PECOS PAC ID: 1052721685 Enrollment ID: I20201110000644 |
| Provider Name | Scott Andrew Witter |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184221970 PECOS PAC ID: 1850701483 Enrollment ID: I20201110000745 |
| Provider Name | Simmi S Narula |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902415953 PECOS PAC ID: 6800206319 Enrollment ID: I20201111001263 |
| Provider Name | Shirley R Bradley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871092205 PECOS PAC ID: 2567872948 Enrollment ID: I20201113002695 |
| Provider Name | Constantin Razvan Popescu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194322800 PECOS PAC ID: 1456762772 Enrollment ID: I20201117003153 |
| Provider Name | Priya Pandit |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1245528579 PECOS PAC ID: 3577974823 Enrollment ID: I20201118001033 |
| Provider Name | Melanie J Pollock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255938023 PECOS PAC ID: 5698186872 Enrollment ID: I20201118002788 |
| Provider Name | Sarah Steingiser |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619479474 PECOS PAC ID: 3779994843 Enrollment ID: I20201120000655 |
| Provider Name | Jessica Bilotta |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407361850 PECOS PAC ID: 1456762574 Enrollment ID: I20201121000155 |
| Provider Name | Alicja Jedrychowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528674629 PECOS PAC ID: 9436560349 Enrollment ID: I20201125002103 |
| Provider Name | Jeong Mi Pak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174097331 PECOS PAC ID: 2668801168 Enrollment ID: I20201201000118 |
| Provider Name | Evelynn L Palmer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770186967 PECOS PAC ID: 6406268747 Enrollment ID: I20201210001747 |
| Provider Name | Marta Monika Curry |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1184752180 PECOS PAC ID: 3173935269 Enrollment ID: I20201214003054 |
| Provider Name | Tammy Weiner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417401894 PECOS PAC ID: 4688086226 Enrollment ID: I20201223002004 |
| Provider Name | Messan Elom Lawson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164067443 PECOS PAC ID: 3971915554 Enrollment ID: I20201224000697 |
| Provider Name | David M Abrams |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1093982167 PECOS PAC ID: 8820163074 Enrollment ID: I20210105002044 |
| Provider Name | Irena Tsapelas |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1609464460 PECOS PAC ID: 3274946496 Enrollment ID: I20210107002490 |
| Provider Name | Katie A Sansone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073130027 PECOS PAC ID: 2163835380 Enrollment ID: I20210107002612 |
| Provider Name | Donna Mary Hayes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689903163 PECOS PAC ID: 9638583099 Enrollment ID: I20210126000784 |
| Provider Name | Tamar Kornitzer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215435508 PECOS PAC ID: 6800201682 Enrollment ID: I20210210000068 |
| Provider Name | Amanda Dill |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962811240 PECOS PAC ID: 3577978279 Enrollment ID: I20210210001284 |
| Provider Name | Francine L Holmes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427552090 PECOS PAC ID: 0749695989 Enrollment ID: I20210219001797 |
| Provider Name | Katrin Weir |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1154451177 PECOS PAC ID: 3476969106 Enrollment ID: I20210304000830 |
| Provider Name | Chaneil Beckford |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457750473 PECOS PAC ID: 3375959356 Enrollment ID: I20210317002126 |
| Provider Name | Tracie Nalley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053996272 PECOS PAC ID: 4789091679 Enrollment ID: I20210319001217 |
| Provider Name | Gianna Perrotti |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174912869 PECOS PAC ID: 9638587652 Enrollment ID: I20210412002290 |
| Provider Name | Sharon Fong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720671456 PECOS PAC ID: 0244648863 Enrollment ID: I20210421000203 |
| Provider Name | Laurie Ann Valentine |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881961167 PECOS PAC ID: 5294134706 Enrollment ID: I20210602002589 |
| Provider Name | Jill M Siladi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346827128 PECOS PAC ID: 9739589698 Enrollment ID: I20210614003227 |
| Provider Name | Dorothy Washington |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194309005 PECOS PAC ID: 9335549823 Enrollment ID: I20210621003325 |
| Provider Name | Kimberly Paquin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376862672 PECOS PAC ID: 8123429438 Enrollment ID: I20210624000737 |
| Provider Name | Amanda Gremo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730692559 PECOS PAC ID: 6608277678 Enrollment ID: I20210628003049 |
| Provider Name | Charmaine B Webley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376014902 PECOS PAC ID: 4183950991 Enrollment ID: I20210728002896 |
| Provider Name | Jannett Campos |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982913695 PECOS PAC ID: 0547664377 Enrollment ID: I20210802001303 |
| Provider Name | Preston Maynard |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356786719 PECOS PAC ID: 2062816556 Enrollment ID: I20210805000961 |
| Provider Name | Chizoma Jacinta Nwaneri |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437720778 PECOS PAC ID: 2668876178 Enrollment ID: I20210805001662 |
| Provider Name | Theresa Sheahan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871023341 PECOS PAC ID: 4082989330 Enrollment ID: I20210810003128 |
| Provider Name | Shoshana Neuwirth |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720351414 PECOS PAC ID: 9537565874 Enrollment ID: I20210910002421 |
| Provider Name | George Ramos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518579804 PECOS PAC ID: 8325445034 Enrollment ID: I20210923000472 |
| Provider Name | Chidinma Ifechukwu Gubor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497364459 PECOS PAC ID: 4981001369 Enrollment ID: I20210928001671 |
| Provider Name | Juanita Louise Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447929336 PECOS PAC ID: 1951709880 Enrollment ID: I20211007001359 |
| Provider Name | Kathryn F Rabinoff |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528213436 PECOS PAC ID: 7113315474 Enrollment ID: I20211019003248 |
| Provider Name | Andrea Kathleen St. Jacques |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750050092 PECOS PAC ID: 2668860933 Enrollment ID: I20211020000175 |
| Provider Name | Irini Borysewicz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013680990 PECOS PAC ID: 7719375914 Enrollment ID: I20211020001640 |
| Provider Name | Maxine L Varanko |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1467726737 PECOS PAC ID: 4486042520 Enrollment ID: I20211022001183 |
| Provider Name | Nicole L Alex |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497424527 PECOS PAC ID: 8921496316 Enrollment ID: I20211104001871 |
| Provider Name | Shalenta Hardison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598176273 PECOS PAC ID: 7719376946 Enrollment ID: I20211110000280 |
| Provider Name | Quanza Hewitt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700474806 PECOS PAC ID: 1850780727 Enrollment ID: I20211115001968 |
| Provider Name | Okechukwu C Chidiadi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457922692 PECOS PAC ID: 7416347570 Enrollment ID: I20211203000146 |
| Provider Name | Maria Shalukhova |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700268778 PECOS PAC ID: 4587971668 Enrollment ID: I20211208000298 |
| Provider Name | Marlene Fray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497351688 PECOS PAC ID: 9537417225 Enrollment ID: I20211208000579 |
| Provider Name | Selma Costa Rosa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457930158 PECOS PAC ID: 0446641989 Enrollment ID: I20211217000352 |
| Provider Name | Ajibola Adekanye |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144988841 PECOS PAC ID: 5294126116 Enrollment ID: I20220103000233 |
| Provider Name | Shari L O'reilly |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174116313 PECOS PAC ID: 5496147720 Enrollment ID: I20220119001490 |
| Provider Name | Dionne Botas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831852516 PECOS PAC ID: 4486046620 Enrollment ID: I20220119002529 |
| Provider Name | Jill Wendy Chaus |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861143067 PECOS PAC ID: 0042602229 Enrollment ID: I20220120001070 |
| Provider Name | Christina Costa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689340747 PECOS PAC ID: 0648662841 Enrollment ID: I20220120001821 |
| Provider Name | Jacob Bigbi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710649363 PECOS PAC ID: 2567854649 Enrollment ID: I20220122000091 |
| Provider Name | Lauren D Liss |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245983212 PECOS PAC ID: 9638562143 Enrollment ID: I20220204001968 |
| Provider Name | Amy Leigh Dorsey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811489545 PECOS PAC ID: 2466845847 Enrollment ID: I20220207002176 |
| Provider Name | Amanda Jones |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295222834 PECOS PAC ID: 8325431380 Enrollment ID: I20220215002385 |
| Provider Name | Joyce Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336299890 PECOS PAC ID: 2961457247 Enrollment ID: I20220330001746 |
| Provider Name | Sherry Trowell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609518117 PECOS PAC ID: 8527455187 Enrollment ID: I20220428002089 |
| Provider Name | Jannet Jones |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770813669 PECOS PAC ID: 7315334976 Enrollment ID: I20220428002191 |
| Provider Name | Shanna Delucien |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1275047813 PECOS PAC ID: 2062809684 Enrollment ID: I20220429001447 |
| Provider Name | Ashley Chanell Harris |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386207652 PECOS PAC ID: 0840687463 Enrollment ID: I20220429001561 |
| Provider Name | Sarah Napuli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306595731 PECOS PAC ID: 8527455930 Enrollment ID: I20220503000603 |
| Provider Name | Anita Oforiwaa Obeng |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093486417 PECOS PAC ID: 6406245638 Enrollment ID: I20220531002060 |
| Provider Name | Richard E James |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1750325262 PECOS PAC ID: 7517979974 Enrollment ID: I20220531002099 |
| Provider Name | Marine Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902449424 PECOS PAC ID: 3173931565 Enrollment ID: I20220603002330 |
| Provider Name | Maureen Pasko |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700022779 PECOS PAC ID: 8224416169 Enrollment ID: I20220603002335 |
| Provider Name | Elizabeth T Waszkiewicz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689988172 PECOS PAC ID: 0143608992 Enrollment ID: I20220607000851 |
| Provider Name | Saleha Chaudhry |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1275097925 PECOS PAC ID: 9830577436 Enrollment ID: I20220610001309 |
| Provider Name | Michelle Czaja |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275271702 PECOS PAC ID: 6709265101 Enrollment ID: I20220615000631 |
| Provider Name | Lea Santello |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710339007 PECOS PAC ID: 4385024223 Enrollment ID: I20220708002424 |
| Provider Name | Danielle A Blinstrubas |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1053574871 PECOS PAC ID: 7911389713 Enrollment ID: I20220726002412 |
| Provider Name | Theresa Antwi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053081398 PECOS PAC ID: 1052793668 Enrollment ID: I20220728003570 |
| Provider Name | Joshua Brackett |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316535545 PECOS PAC ID: 2567848575 Enrollment ID: I20220928002542 |
| Provider Name | Genesis Campos |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417557026 PECOS PAC ID: 6901273705 Enrollment ID: I20221108002383 |
| Provider Name | Brittany Jacobs |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639574049 PECOS PAC ID: 0749659753 Enrollment ID: I20221214002276 |
| Provider Name | Oyewole Ogunnaike |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497416424 PECOS PAC ID: 0143699165 Enrollment ID: I20221214002636 |
| Provider Name | Susan Byrnes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700597341 PECOS PAC ID: 9537539598 Enrollment ID: I20230109000735 |
| Provider Name | Yocheved Jessica Milstein |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285342071 PECOS PAC ID: 0244600211 Enrollment ID: I20230109001315 |
| Provider Name | Daniel Stubbs Brown |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306553482 PECOS PAC ID: 3173994902 Enrollment ID: I20230113001549 |
| Provider Name | William L. Kornegay |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1366160277 PECOS PAC ID: 1557733847 Enrollment ID: I20230215000484 |
| Provider Name | Alimatu A Busari |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073235172 PECOS PAC ID: 5799150652 Enrollment ID: I20230405002905 |
| Provider Name | Tameika Outlaw |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639891971 PECOS PAC ID: 6406221308 Enrollment ID: I20230406001534 |
| Provider Name | Lissa Ann Grossman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548858848 PECOS PAC ID: 3274908793 Enrollment ID: I20230413002276 |
| Provider Name | Janet Lynn Howe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194425975 PECOS PAC ID: 9931574399 Enrollment ID: I20230417002297 |
| Provider Name | Stephanie Livingston-gurchin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750022547 PECOS PAC ID: 8224403522 Enrollment ID: I20230418001341 |
| Provider Name | Gaele Pompee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851997191 PECOS PAC ID: 7012322837 Enrollment ID: I20230426000318 |
| Provider Name | Lily Rosenthal |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538719018 PECOS PAC ID: 9335505163 Enrollment ID: I20230519001312 |
| Provider Name | Fariza Ahrorova |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124713086 PECOS PAC ID: 1254797095 Enrollment ID: I20230519001861 |
| Provider Name | Raevynn Ashley Williams |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992335681 PECOS PAC ID: 5597122549 Enrollment ID: I20230606002507 |
| Provider Name | Maria Ferrer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477287357 PECOS PAC ID: 7719344472 Enrollment ID: I20230612001508 |
| Provider Name | Sarah Duplin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346930302 PECOS PAC ID: 8729446992 Enrollment ID: I20230620002432 |
| Provider Name | Maria Lopez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730606013 PECOS PAC ID: 2163880063 Enrollment ID: I20230626001855 |
| Provider Name | Olubunmi Olugbile |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104514272 PECOS PAC ID: 5496115917 Enrollment ID: I20230716000125 |
| Provider Name | Jaron Isaac Cotton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215625926 PECOS PAC ID: 2062872146 Enrollment ID: I20230720003499 |
| Provider Name | Nora J Paparo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497441190 PECOS PAC ID: 7416318878 Enrollment ID: I20230801003066 |
| Provider Name | Agnes Konadu Arhin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780371971 PECOS PAC ID: 1254792484 Enrollment ID: I20230803001605 |
| Provider Name | Markysha Douglas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700412806 PECOS PAC ID: 4284097585 Enrollment ID: I20230905002300 |
| Provider Name | Ebonee Little |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134881113 PECOS PAC ID: 6507220340 Enrollment ID: I20230913001286 |
| Provider Name | Mary Cassandra Foster |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770835746 PECOS PAC ID: 2466853346 Enrollment ID: I20230919000448 |
| Provider Name | Stephanie Bluman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538664958 PECOS PAC ID: 1850751116 Enrollment ID: I20230927000414 |
| Provider Name | Tanya Dawson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053831768 PECOS PAC ID: 9234583998 Enrollment ID: I20230928002389 |
| Provider Name | Kelly Hu Quazi |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225815020 PECOS PAC ID: 0840645214 Enrollment ID: I20231005001192 |
| Provider Name | Lindsay Carroll Leblanc |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457783102 PECOS PAC ID: 0345697272 Enrollment ID: I20231114001436 |
| Provider Name | Milton Jason Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699553966 PECOS PAC ID: 2062869993 Enrollment ID: I20231114001486 |
| Provider Name | John Arpad Ostheimer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861101438 PECOS PAC ID: 9739536699 Enrollment ID: I20231114002897 |
| Provider Name | Jamie Elizabeth Potter |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134645252 PECOS PAC ID: 2062869928 Enrollment ID: I20231114003083 |
| Provider Name | Hilary Frisch |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689452922 PECOS PAC ID: 5890142574 Enrollment ID: I20231117001509 |
| Provider Name | Chavonne D Givens |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104691039 PECOS PAC ID: 5395194914 Enrollment ID: I20231207003731 |
| Provider Name | Petre-ann M Mcadams |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346685922 PECOS PAC ID: 4688023534 Enrollment ID: I20231218002234 |
| Provider Name | Voissane Mcnamara |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225368764 PECOS PAC ID: 3072996255 Enrollment ID: I20231218002447 |
| Provider Name | Shevonne Browne Sims |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1548792310 PECOS PAC ID: 3476900465 Enrollment ID: I20240108003645 |
| Provider Name | Elaine Barclay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639410228 PECOS PAC ID: 4284085762 Enrollment ID: I20240109002721 |
| Provider Name | Raven Adair Omuemu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720741812 PECOS PAC ID: 4082005764 Enrollment ID: I20240109002751 |
| Provider Name | Andrews Agyekum |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578847976 PECOS PAC ID: 8123479524 Enrollment ID: I20240110002668 |
| Provider Name | Angelica Luz Rodriguez |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1346875713 PECOS PAC ID: 1850742271 Enrollment ID: I20240110003475 |
| Provider Name | Kedeisha Fountain |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1184897084 PECOS PAC ID: 0840642880 Enrollment ID: I20240116001558 |
| Provider Name | Yente Rachel Chesny |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295201424 PECOS PAC ID: 7618329525 Enrollment ID: I20240116004074 |
| Provider Name | Roberta Murtagh |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1730968165 PECOS PAC ID: 1355794306 Enrollment ID: I20240126000710 |
| Provider Name | Kevin Cobb |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427256437 PECOS PAC ID: 5890033559 Enrollment ID: I20240130003202 |
| Provider Name | Diane Mary Tobin |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1972711109 PECOS PAC ID: 7517209414 Enrollment ID: I20240227000077 |
| Provider Name | Raquel Roman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1992177455 PECOS PAC ID: 5890131221 Enrollment ID: I20240307003963 |
Silver Linings Counseling, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 227 Main St, Danielson, CT 06239 Phone: 860-774-2323 Fax: 860-831-1140 | |
K.w. Harrington Counseling And Consulting, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 55 Green Hollow Rd, Danielson, CT 06239 Phone: 860-617-6359 | |
Discovery Counseling Services Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 239 Main St, Danielson, CT 06239 Phone: 203-907-9552 | |
Step Up Behavioral Care Pc Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 111 Westcott Rd, Danielson, CT 06239 Phone: 718-298-4375 | |
Jessica A. Haeseler, Lcsw Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 210 Westcott Rd, Danielson, CT 06239 Phone: 860-884-8237 | |
Inlight Professional Counseling Services Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 70 Cottage St, Danielson, CT 06239 Phone: 860-655-2048 |