Amy Albero LLC
Organization Active NPI Clinical Social Worker · Stamford, CT
NPI 1992230288 · NPPES record last updated Apr 25, 2017
Key facts
- NPI
- 1992230288
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Social Worker 1041C0700X
- Legal business name
- AMY ALBERO LLC
- Practice address
- 37 Glenbrook Rd
Suite, 3
Stamford, CT 06902-2913 - Phone
- (203) 693-4917
- Fax
- (203) 802-6271
- NPI assigned
- Apr 25, 2017
- Organization subpart
- No
Authorized official
- Name
- Mrs. Amy L Albero, LCSW
- Title
- Managing Member
- Phone
- (203) 989-3415
Practitioners 36
-
Amy Albero, LCSW
-
Martine Bruno, LMSW
-
Annemarie Carpenter, LPC
-
Ashley Dascola, IWLC
-
Jessica Desai, LCSW
-
Tabitha Fortt, MD
-
Heather Haase, LMFT
-
Katherine Olson, LCSW
-
Nicole Pradella, LCSW
-
Alexandra Repaci, LMFT
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CT
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230712001702 | CT | Part B Supplier - Clinic/Group Practice | 9638539463 |
Receives reassigned benefits from 1 practitioner Practice locations: Stamford, CT |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor |
101YM0800X | |||
| Clinical Social Worker |
1041C0700X | Yes |
Addresses
Primary practice location
37 Glenbrook Rd
Suite, 3
Stamford, CT 06902-2913
Mailing address
151 Rolling Wood Dr
Stamford, CT 06905-2329
Phone (203) 693-4917
Other names
- Revive Center For Wellness
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All providers in Stamford, CT · Clinical Social Worker in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 25, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.