Organization Name: | STEPHANIE PAUL, L.C.S.W. LLC |
NPI Number: | 1003101767 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | STEPHANIE S PAUL (SOLE MEMBER) |
Mailing Address: | 318 Main St Farmington |
State: | CT US |
Postal Code: | 060322961 |
Phone Number: | 8608181719 |
Fax Number: | |
NPI Enumeration Date: | 06/10/2011 |
NPI Last Update Date: | 06/10/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 006933 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CT |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |