Individual
MS. CAROLINE EAGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW,MSW,BSW
Contact information
Practice address
141 E MAIN ST, WELLMORE INC-CHILDRENS SERVICES, WATERBURY, CT 06702-2310
(203) 575-0466
(203) 575-1827
Mailing address
141 E MAIN ST, 4TH FLOOR ADMINISTRATION, WATERBURY, CT 06702-2310
(203) 574-9000
(203) 574-9006
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
008242
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008049710
—
CT
01
—
060669107
UBH/OXFORD HEALTH LIBERTY/FREEDOM WELLMORE GRP/FACILITY
CT
01
—
CAQH
12656269
CT
01
—
D339123- 141 E MAIN
BEACON HEALTH STRATEGIES
CT
01
—
PENDING
AETNA BEHAVIORAL HEALTH
CT
Enumeration date
03/23/2012
Last updated
05/19/2016
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us