Deborah L Ellsworth (NPI# 1952542409, PAC ID# 6204073901) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL SOCIAL WORKER.
| Nation Provider ID (NPI) | 1952542409 |
| PAC ID by PECOS | 6204073901 |
| Professional Enrollment ID | I20130517000254 |
| Full Name | Deborah L Ellsworth |
| Address |
649 Amity Rd Unit 103 Bethany CT 06524-3091 |
| Phone Number | 2035302852 |
| Gender | F |
| Graduation Year | 1990 |
| Primary Specialty | CLINICAL SOCIAL WORKER |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 649 Amity Rd, Unit 103, Bethany, CT 06524-3091 | 2035302852 |
| Street Address |
649 AMITY RD UNIT 103 |
| City | BETHANY |
| State | CT |
| Zip | 06524-3091 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ellen M Wright | Clinical Social Worker | 649 Amity Rd, Unit 103, Bethany, CT 06524-3091 |
| City | BETHANY |
| Zip Code | 06524 |
| Specialty | CLINICAL SOCIAL WORKER |
| City + Specialty | BETHANY + CLINICAL SOCIAL WORKER |
Please comment or provide details below to improve the information on Deborah L Ellsworth.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.