CT SOCIALWORK LLC NPI 1811357965

NPI Information

NPI: 1811357965
Provider Name: CT SOCIALWORK LLC
Classification: Counselor - 101YP2500X
Entity Type: Organization

Specialization: Professional

Address:
64 GREYSTONE ROAD EXT
PLYMOUTH, CT
ZIP 06782
Phone: (203) 660-7459
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CT SOCIALWORK LLC is a professional counselor in Plymouth, CT. CT SOCIALWORK LLC NPI is 1811357965. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

64 GREYSTONE ROAD EXT
PLYMOUTH, CT
ZIP 06782-900
Phone: (203) 660-7459
Fax: (860) 760-6122

The provider's authorized official is Natalena Block .
The authorized official title is Director and has the following contact phone number (203) 660-7459.

The enumeration date for this NPI number is 3/2/2016 and was last updated on 1/9/2019.

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	101YP2500X	Counselor	Professional			Yes
2	1041C0700X	Social Worker	Clinical			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	008037013	MEDICAID	CONNECTICUT

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: 5/5/2024

NPI Synchronization or Removal

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