Acanfora, Samantha
Acanfora, Samantha is an individual health care provider with primary practice located at 226 Dixwell Avenue Northside Community Outpatient Services, New Haven CT 06511-3456. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Acanfora, Samantha can be contacted via phone (203) 503-3470.Contact Information
Primary practice address
226 Dixwell Avenue Northside Community Outpatient Services
New Haven CT 06511-3456
Phone: (203) 503-3470
Fax: (203) 503-3478
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 10704 | Connecticut |
Profile Details
| NPI number | 1447775135 |
|---|---|
| LBN Legal business name | Acanfora, Samantha |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 3rd, 2017 |
| Last updated | Dec 16th, 2020 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1447775135 | NPPES |
| Connecticut | MEDICAID | 008089584 |
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