| Susan Hackel Lcsw Llc | |
|
85 Old Ridgefield Rd Wilton CT 06897-3023 | |
| (203) 664-5838 | |
| Not Available |
| Full Name | Susan Hackel Lcsw Llc |
|---|---|
| Speciality | Social Worker |
| Location | 85 Old Ridgefield Rd, Wilton, Connecticut |
| Authorized Official Name and Position | Susan Hackel (PSYCHOTHERAPIST) |
| Authorized Official Contact | 2036645838 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Susan Hackel Lcsw Llc 15 Hubbard Rd Wilton CT 06897-7700 Ph: () - | Susan Hackel Lcsw Llc 85 Old Ridgefield Rd Wilton CT 06897-3023 Ph: (203) 664-5838 |
| NPI Number | 1508514670 |
|---|---|
| Provider Enumeration Date | 03/16/2022 |
| Last Update Date | 03/16/2022 |
| Certification Date | 03/16/2022 |
| Medicare PECOS PAC ID | 8527455815 |
|---|---|
| Medicare Enrollment ID | O20220505001494 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508514670 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Susan A Hackel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689620312 PECOS PAC ID: 5193790863 Enrollment ID: I20040827000255 |
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