Lisa Farley | Windsor, CT • PECOS Search

Lisa Farley

Social Worker

Behavioral Health & Social Service Providers

61 Bloomfield Ave, Windsor, CT 06095-2809

(860) 707-5024 (860) 653-6577

PECOS Enrollment

Based on the most recent information from CMS, provider Lisa Farley does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1710050513
Provider Type
Individual
Full Name
Farley, Lisa
Credential
LCSW

Gender
Female
Sole Proprietor
Yes
Enumeration Date
11/17/2006
Last Updated
7/8/2007

Contact Information

Practice Location

61 Bloomfield Ave, Windsor, CT 06095-2809

Unlisted Fax

Mailing Location

41 Cone Mt. Rd., West Granby, CT 06090

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License 005885 Connecticut