Doctor Name: | THERESA M. NOWAKOWSKI |
NPI Number: | 1588800569 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | 006722 |
Business Practice Address: | 9 Stonegate Unionville, CT - 060851469 |
Business Phone Number: | 8606741782 |
Business Fax Number: | 8604186699 |
Mailing Address: | 836 Farmington Ave, Suite 217 B WEST HARTFORD |
State: | CT |
Postal Code: | 061191505 |
Phone Number: | 8605239420 |
Fax Number: | 8606673369 |
NPI Enumeration Date: | 12/23/2008 |
NPI Last Update Date: | 12/23/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 006722 |
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 |