MEDICARE: MS. ELLEN ARCAMONE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	104100000X	Social Worker	057499-1	NY
2	1041C0700X	Clinical Social Worker	009373	CT

General Provider Information

NPI Number	:	1265833453
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. ELLEN ARCAMONE

Provider Business Mailing Address
First Line	:	1869 POST RD E
Second Line	:
City	:	WESTPORT
State	:	CT
Zip	:	06880-5679
Country	:	US
Telephone Number	:	203-247-7112
Fax Number	:

Provider Business Practice Location Address
First Line	:	1869 POST RD E
Second Line	:
City	:	WESTPORT
State	:	CT
Zip	:	06880-5679
Country	:	US
Telephone Number	:	203-247-7112
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/08/2014
Last Update Date	:	10/01/2016

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Directions to “ MS. ELLEN ARCAMONE ” Practice Location

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