Individual
MRS. BECKI S GERSTEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, CTS
Contact information
Practice address
98 WASHINGTON STREET, MIDDLETOWN, CT 06457
(860) 347-5556
(860) 347-4748
Mailing address
600 PLAZA MIDDLESEX, P.O. BOX 357, MIDDLETOWN, CT 06457-3468
(860) 347-5556
(860) 347-4748
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
001639
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
024747
VALUE OPTIONS
—
01
—
140001639CT01
BLUE CROSS
—
Enumeration date
01/19/2007
Last updated
05/27/2011
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