Doctor Name: | STEVEN N. SIMONSON |
NPI Number: | 1164519591 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LCSW, DCSW, BCD |
License Number: | 004384 |
Business Practice Address: | 55 Wilcox Rd Stonington, CT - 063782612 |
Business Phone Number: | 8605728834 |
Business Fax Number: | |
Mailing Address: | 75 Courtland Dr, GROTON |
State: | CT |
Postal Code: | 063403852 |
Phone Number: | 8604469601 |
Fax Number: | |
NPI Enumeration Date: | 10/06/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 004384 |
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 |