Doctor Name: | JOSEY MADISON |
NPI Number: | 1043693195 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | 9149 |
Business Practice Address: | 90 North St Apt 5o Norwich, CT - 063603741 |
Business Phone Number: | 8604838150 |
Business Fax Number: | |
Mailing Address: | 90 North St Apt 5o, NORWICH |
State: | CT |
Postal Code: | 063603741 |
Phone Number: | 8604838150 |
Fax Number: | |
NPI Enumeration Date: | 07/08/2015 |
NPI Last Update Date: | 08/19/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 9149 |
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 |