Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
KMG THERAPY AND CONSULTING LLC
Active
Organization
KMG THERAPY AND CONSULTING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA M GALLAGHER LCSW (MEMBER)
(860) 917-1779
Entity
Organization
Contact information
Practice address
481 GOLD STAR HWY, SUITE 301, GROTON, CT 06340-6702
(860) 917-1779
(860) 447-8122
Mailing address
1075 E LAKE RD, OAKDALE, CT 06370-1818
(860) 917-1779
(860) 447-8122
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
8823
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0006568
VALUEOPTIONS CT BHP
CT
05
—
008056500
—
CT
01
—
13515495
COUNCIL FOR AFFORDABLE QUALITY HEALTH (CAQH)
CT
01
—
544181
MANAGED HEALTH NETWORK (MHN)
CT
01
—
D300184136
MEDICARE PTAN
CT
Enumeration date
11/23/2015
Last updated
11/23/2015
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up