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NPI Code Detail

MEDICARE: MRS. KAREN ANN RECKMEYER LCSW

MEDICARE: MRS. KAREN ANN RECKMEYER LCSW
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
11041C0700XClinical Social Worker002976CT

General Provider Information

NPI Number : 1356579288
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. KAREN ANN RECKMEYER LCSW
Provider Business Mailing Address
First Line : 258 S MAIN ST
Second Line :
City : THOMASTON
State : CT
Zip : 06787-1815
Country : US
Telephone Number : 860-283-8224
Fax Number : 860-283-6079
Provider Business Practice Location Address
First Line : 258 S MAIN ST
Second Line :
City : THOMASTON
State : CT
Zip : 06787-1815
Country : US
Telephone Number : 860-283-8224
Fax Number : 860-283-6079
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/30/2009
Last Update Date : 06/30/2009

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Directions to “ MRS. KAREN ANN RECKMEYER LCSW” Practice Location

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