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DEBORAH L ELLSWORTH
OTHER
DEBORAH L ELLSWORTH is physician registered in the Centers for Medicare & Medicaid Services (CMS). The National Provider Identifier (NPI) of the National Plan and Provider Enumeration System (NPPES) is 1952542409. The unique individual professional ID assigned by Provider Enrollment, Chain, and Ownership System (PECOS) is 6204073901. The primary specialty is CLINICAL SOCIAL WORKER. The organization is THE HEALTHY MIND PSYCHIATRIC SERVICES PC. The address is 133 SCOVILL ST, SUITE 102, WATERBURY, CT, 67061253. The zip code is 67061253.
| Nation Provider ID | 1952542409 |
|---|---|
| PAC ID by PECOS | 6204073901 |
| Professional Enrollment ID | I20130517000254 |
| Name | DEBORAH L ELLSWORTH |
| Medical School Name | OTHER |
| Graduation Year | 1990 |
| Primary Specialty | CLINICAL SOCIAL WORKER |
| All secondary specialties | |
| Organization Name | THE HEALTHY MIND PSYCHIATRIC SERVICES PC |
| Group Practice PAC ID | 4082874672 |
| Number of Group Practice members | 10 |
| Address | 133 SCOVILL ST, SUITE 102, WATERBURY, CT, 67061253 |
| Hospital affiliation LBN | |
| Graduation Year | 1990 |
| Contact Number | 2032705575 |
| Email Address | [Show_Email_ID] |
| Phone Number | [Show_Phone] |
| Website | [Show_Website] |