Andrews, Michelle L

Andrews, Michelle L is an sole proprietor health care provider with primary practice located at 984 Southford Rd , Middlebury CT 06762-3234. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Andrews, Michelle L can be contacted via phone (203) 758-2400.

Contact Information

Primary practice address
984 Southford Rd Middlebury CT 06762-3234
Fax: (203) 758-2415
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 006333 Connecticut

Profile Details

NPI number 1184775769
LBN Legal business name Andrews, Michelle L
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 12th, 2007
Last updated Mar 17th, 2014 - about 11 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184775769 NPPES
Connecticut MEDICAID 008031007

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