SUSAN MATLIN PICCONE (NPI# 1235697285) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1235697285 |
Entity Type | Individual |
Full Name | SUSAN MATLIN PICCONE |
Credential | MA, LPC |
Practice Address |
200 W Center St Ste C3 Manchester CT 06040-4870 |
Practice Telephone | 8444288728 |
Practice Fax Number | 8604321477 |
Mailing Telephone | 8444288728 |
Mailing Fax Number | 8604321477 |
Enumeration Date | 2019-03-08 |
Last Update Date | 2019-03-08 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YP2500X |
Counselor Specialization: Professional |
3637 | CT | Behavioral Health & Social Service Providers |
Street Address |
200 W CENTER ST STE C3 |
City | MANCHESTER |
State | CT |
Zip Code | 06040-4870 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821138389 | Christine Leah Shapter | Psychiatry & Neurology | 200 W Center St Ste C3, Manchester, CT 06040-4870 | 2007-02-07 |
1508345604 | Growing Success Child & Family Therapy, LLC | Social Worker | 200 W Center St Ste C3, Manchester, CT 06040 | 2018-08-09 |
1558754432 | Lori Caswell, Lcsw, LLC | Social Worker | 200 W Center St Ste C3, Manchester, CT 06040-4870 | 2015-03-16 |
1316118987 | Lori Ann Marie Rossitto | Social Worker | 200 W Center St Ste C3, Manchester, CT 06040-4870 | 2008-03-21 |
1689799231 | Elizabeth L Moore | Psychologist | 200 W Center St Ste C3, Manchester, CT 06040-4870 | 2007-03-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710501333 | Mackenzie Lawler | Social Worker | 200 W. Center Street, Suite C-2-6, Manchester, CT 06040 | 2020-05-29 |
1386288009 | Monica Diaz | Social Worker | 117 East Center Street, Suite A1, Manchester, CT 06040 | 2019-11-06 |
1346881596 | Sheryl Andrine Henry | Technician | 185 Pine Street, Apt 014, Manchester, CT 06040 | 2019-09-30 |
1811550304 | Edward Wahn Lee | Student in an Organized Health Care Education/Training Program | 130 Hartford Road, Manchester, CT 06040 | 2019-04-19 |
1538689534 | Bernard Ashirifie | Counselor | 869 Main Street, Apt 3, Manchester, CT 06040 | 2017-06-21 |
1497275697 | Justin David Chung | Dentist | 483 Middle Tpke W Ste 209, Manchester, CT 06040 | 2017-06-20 |
1114473436 | Amanda Edgar | Counselor | 469 Center Street, Manchester, CT 06040 | 2016-08-28 |
1760831366 | Samantha Micael | Marriage & Family Therapist | 200 West Center Street, Suite C-2-6, Manchester, CT 06040 | 2016-06-06 |
1962856179 | Odelia Brew | Nurse Practitioner | 256 Hackmatack Street, Manchester, CT 06040 | 2016-04-14 |
1306217765 | Stephen R Machattie | Social Worker | 843 Main St Ste 11, Manchester, CT 06040 | 2015-10-12 |
Find all providers in zip 06040 |
Taxonomy Code | 101YP2500X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Professional |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417506643 | Angela B Flanagan | Counselor | 112 Arnott Rd, Manchester, CT 06040-4529 | 2019-09-10 |
1184132094 | Revitalize Counseling Services LLC | Counselor | 2401 Woodland Rd, Manchester, NJ 08759-6135 | 2018-01-12 |
1578946786 | Reta Goldman | Counselor | 25 Lowell St Ste 208, Manchester, NH 03101 | 2015-07-07 |
1770973570 | Naree Thao | Counselor | 910 Dogwood Creek Dr Apt F, Manchester, MO 63021-8565 | 2015-01-31 |
1407245269 | Ann M Sullivan | Counselor | 2460 Clarjon Dr, Manchester, MO 63021-7821 | 2015-01-16 |
1891038956 | Jaleesa Hernandez Jones | Counselor | 843 Main St Ste 2, Manchester, CT 06040-6041 | 2013-03-27 |
1841526324 | Thomas Ray Lawson | Counselor | 621 Henley St, Manchester, TN 37355-2103 | 2009-10-19 |
1568646917 | Joan L Nester | Counselor | 1375 Carman Rd, Berean House, Manchester, MO 63021-5600 | 2007-12-20 |
1598898686 | Vicki I Simmons | Counselor | 315 Stephanie, Manchester, MO 63011 | 2007-03-14 |
1245376250 | Rachel Marie Millonas | Counselor | 741 Ridgeside Dr, C, Manchester, MO 63021-7754 | 2007-01-29 |
Find all providers in MANCHESTER |
City | MANCHESTER |
Zip Code | 06040 |
Please comment or provide details below to improve the information on SUSAN MATLIN PICCONE.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.