Individual
MR. AKIVA SCHMOOKLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
10218
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060669107
ANTHEM BCBS OF CT WELLMORE GRP/FACILITY
CT
01
—
13765948
CAQH
CT
01
—
D339123 141 E MAIN
VALUE OPTIONS
CT
01
—
NOT ELIGIBLE
MHN-TRICARE NOTH
CT
01
—
PENDING
CIGNA BEHAVIORAL HEALTH
CT
Enumeration date
12/23/2015
Last updated
09/25/2019
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