Individual
MS. EILEEN L. SHEKOSKY
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
LCSW/MSW
Contact information
Practice address
770 SAYBROOK RD, BLDG B, MIDDLETOWN, CT 06457-4739
(860) 343-5388
(860) 343-5391
Mailing address
770 SAYBROOK RD, BLDG B, MIDDLETOWN, CT 06457-4739
(860) 343-5388
(860) 343-5391
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
001420
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11244569
CAQH
CT
01
—
140001420CT01
ANTHEM BLUE CROSS
CT
01
—
211825
MHN
CT
01
—
56140001420CT1
ANTHEM/BLUECROSS
CT
01
—
768882
CTCARE
CT
Enumeration date
12/16/2005
Last updated
07/08/2007
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