Organization Name: | N.C.K., LLC |
NPI Number: | 1003108887 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | NATASHA KENNEDY (OWNER) |
Mailing Address: | 2 Bull Ave 7 Wallingford |
State: | CT US |
Postal Code: | 064926514 |
Phone Number: | 2038092455 |
Fax Number: | |
NPI Enumeration Date: | 05/11/2011 |
NPI Last Update Date: | 05/11/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 005997 |
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 |