| Organization Name: | ROBERT J. CLEVELAND, LCSW, LLC |
| NPI Number: | 1093082380 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ROBERT J CLEVELAND (OWNER / PSYCHOTHERAPIST) |
| Mailing Address: | 39 New London Turnpike Suite 320 Glastonbury |
| State: | CT US |
| Postal Code: | 06033 |
| Phone Number: | 8606525139 |
| Fax Number: | 8667043161 |
| NPI Enumeration Date: | 11/30/2011 |
| NPI Last Update Date: | 11/30/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 005931 |
| 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 |