SUSAN MATLIN PICCONE


Address: 200 W Center St Ste C3, Manchester, CT 06040-4870
Phone: 8444288728

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YP2500X Counselor
Specialization: Professional
3637 CT Behavioral Health & Social Service Providers

Office Location

Street Address 200 W CENTER ST STE C3
City MANCHESTER
State CT
Zip Code 06040-4870

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 101YP2500X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Professional

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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

Competitor

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City MANCHESTER
Zip Code 06040

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Dataset Information

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.

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