ELISABETH D PERALTA LCSWMSWBSWASW NPI 1114313947

NPI Information

NPI: 1114313947
Provider Name: ELISABETH D PERALTA, LCSW,MSW,BSW,ASW
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
402 E MAIN ST
WATERBURY, CT
ZIP 06702
Phone: (203) 574-9000
Get Directions

Elisabeth D Peralta, LCSW,MSW,BSW,ASW is an addiction (substance use disorder) counselor in Waterbury, CT. Elisabeth D Peralta, LCSW,MSW,BSW,ASW NPI is 1114313947. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

402 E MAIN ST
WATERBURY, CT
ZIP 06702-701
Phone: (203) 574-9000
Fax: (203) 574-9006

The enumeration date for this NPI number is 4/8/2015 and was last updated on 1/18/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)			Yes
2	1041C0700X	Social Worker	Clinical	6022	CONNECTICUT	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	PENDING	OTHER	CONNECTICUT	MHN TRICARE NORTH
2	060669107	OTHER	CONNECTICUT	UNITED BEHAVIORAL HEALTH GRP/FACILITY
3	PENDING	OTHER	CONNECTICUT	MHN MANAGED HEALTH NETWORK
4	060669107	OTHER	CONNECTICUT	UBH/CONNECTICTUT GRP/FACILITY
5	D339210 402 E MAIN	OTHER	CONNECTICUT	BEACON HEALTH STRATEGIES
6	PENDING	OTHER	CONNECTICUT	CIGNA BEHAVIORAL HEALTH
7	PENDING	OTHER	CONNECTICUT	AETNA BEHAVIORAL HEALTH
8	060669107	OTHER	CONNECTICUT	ANTHEM BCBS OF CT GRP/FACILITY
9	13818187	OTHER	CONNECTICUT	CAQH
10	0808064941	MEDICAID	CONNECTICUT
11	060669107	OTHER	CONNECTICUT	UBH-UNITED HEALTHCARE GRP/FACILITY
12	060669107	OTHER	CONNECTICUT	HEALTHYCT GRP/FACILITY
13	060669107	OTHER	CONNECTICUT	UBH/OFORD FREEDOM-LIBERTY GRP/FACILITY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

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