Diaz, Jenelis
Diaz, Jenelis is an individual health care provider with primary practice located at 91 Northwest Dr Wheeler Clinic, Plainville CT 06062. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Diaz, Jenelis can be contacted via phone (860) 793-3500.Contact Information
Primary practice address
91 Northwest Dr Wheeler Clinic
Plainville CT 06062
Phone: (860) 793-3500
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X |
Profile Details
| NPI number | 1780941898 |
|---|---|
| LBN Legal business name | Diaz, Jenelis |
| Credentials | Bachelor of Social Work (BSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 13th, 2012 |
| Last updated | Apr 13th, 2012 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1780941898 | NPPES |
| Connecticut | MEDICAID | 060867065 |
Popular Providers
-
Cruz, Stephanie Marie
91 Northwest Dr , Plainville CT 06062-1534 -
Santamaria, Tara
74 East St , Plainville CT 06062-2367 -
Lamb, Kelly E
78 East Street , Plainville CT 06062 -
Dixon, Janel Claresse
91 Northwest Dr , Plainville CT 06062-1534 -
Larosa, Dominique
73 East St , Plainville CT 06062-2341 -
Nelson, Lisa Marie
201 N Mountain Rd , Plainville CT 06062-1848 -
Pratt, Miranda
56 W Main St , Plainville CT 06062 -
Maj, Magdalena
74 East St , Plainville CT 06062-2367