Phetsamon Dilullo
Phetsamon Dilullo is a Clinical Social Worker in Windsor, Connecticut. Qualified in 2007, 19 years ago. Practices with Amherst Psychotherapy Practice PC, a 24-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Connecticut.
- Years since qualifying
- 19
- Licensed in
- CT
- In the registry since
- 2019
Practice location Address checks out
32 Maple AveWindsor, CT 06095-2922
Phone: (860) 973-9171
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 32 Maple Ave, Windsor, CT 06095-2922 — (860) 973-9171
Specialties & licences
| Clinical Social Worker (primary) | Taxonomy 1041C0700X · Licence 010163 (CT) |
|---|
Record details
| NPI number | 1982168688 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | January 27, 2019 |
| Last updated in NPPES | April 12, 2019 |
| Mailing address | 32 Maple Ave, Windsor, CT 06095-2922 |
Medicare enrollment
| Medicare specialty | CLINICAL SOCIAL WORKER |
|---|---|
| Medical school | OTHER |
| Graduated | 2007 (19 years in practice) |
| Group practice | Amherst Psychotherapy Practice Pc — 24 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Telehealth | Offers telehealth services |
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