MEDICARE: PAIGE SHELESKY LMSW

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	1041C0700X	Clinical Social Worker	6620	CT

General Provider Information

NPI Number	:	1710723200
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PAIGE SHELESKY LMSW

Provider Business Mailing Address
First Line	:	116 HILLSIDE AVE
Second Line	:
City	:	TORRINGTON
State	:	CT
Zip	:	06790-5524
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	41 E MAIN ST
Second Line	:
City	:	TORRINGTON
State	:	CT
Zip	:	06790-5425
Country	:	US
Telephone Number	:	860-960-3585
Fax Number	:

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

Provider Enumeration Date	:	07/03/2024
Last Update Date	:	07/03/2024

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Directions to “ PAIGE SHELESKY LMSW” Practice Location

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