| Doctor Name: | TRICIA MIGNOSA |
| NPI Number: | 1770626129 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | APRN |
| License Number: | 006393 |
| Business Practice Address: | 85 Lafayette St Community Health Center New Britain, CT - 06051 |
| Business Phone Number: | 2035033280 |
| Business Fax Number: | 2035033297 |
| Mailing Address: | 85 Lafayette St., Community Health Center NEW BRITAIN |
| State: | CT |
| Postal Code: | 06051 |
| Phone Number: | 2035032148 |
| Fax Number: | |
| NPI Enumeration Date: | 02/15/2007 |
| NPI Last Update Date: | 07/17/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 006393 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| 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 |