Kellie Eagle, LMSW
Individual provider Active NPI Case Manager/Care Coordinator · Bozrah, CT
NPI 1902205172 · NPPES record last updated Sep 9, 2021
Key facts
- NPI
- 1902205172
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- Practice address
- 28 Haughton Rd
Bozrah, CT 06334-1207 - Phone
- (860) 917-0790
- Fax
- (608) 371-2624
- NPI assigned
- Aug 14, 2014
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inner Peace CT | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Yes |
Addresses
Primary practice location
28 Haughton Rd
Bozrah, CT 06334-1207
Mailing address
191 Spicer Hill Rd
Ledyard, CT 06339-1535
Phone (860) 917-0790
Other providers in Bozrah, CT
- Hannah Carey
- CH Specialty Services CT PLLC
- Children'S Dental Associates of NLC, PC
- Comfort Care Medical Equipment, Inc
- Curana Health of Connecticut PLLC
- Trudy Friedberg
- Ganika Therapy Center LLC
- Mary Geraldine Gardner
- Diane Elizabeth Holzworth
- Kelsey Hust
All providers in Bozrah, CT · Case Manager/Care Coordinator in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 9, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.