Adelson, Diane K
Adelson, Diane K is an sole proprietor health care provider with primary practice located at 244 South Main Street , Colchester CT 06415. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Social Worker is her primary health care specialty. Adelson, Diane K can be contacted via phone (860) 338-3324.Contact Information
Primary practice address
244 South Main Street
Colchester CT 06415
Phone: (860) 338-3324
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | 000734 | Connecticut |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 000714 | Connecticut |
Profile Details
| NPI number | 1750347621 |
|---|---|
| LBN Legal business name | Adelson, Diane K |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 21st, 2006 |
| Last updated | Apr 30th, 2013 - about 12 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 | 1750347621 | NPPES |
| Connecticut | MEDICAID | 1041C0700X |
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