Birtwell, Samantha

Birtwell, Samantha is an individual health care provider with primary practice located at 731 Main St Ste 122 , Monroe CT 06468-2872. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Birtwell, Samantha can be contacted via phone (203) 261-7090.

Contact Information

Primary practice address
731 Main St Ste 122 Monroe CT 06468-2872
Phone: (203) 261-7090
Fax: (203) 702-5283
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 1736 Connecticut

Profile Details

NPI number 1598176018
LBN Legal business name Birtwell, Samantha
Credentials MA,BA,LMFT
Entity Individual
Sole proprietor 1 No
Enumeration date May 19th, 2014
Last updated Jul 24th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1598176018 NPPES
Connecticut Other 13584798 CAQH
Connecticut Other D339123 141 E MAIN CAQH
Connecticut Other PENDING CAQH
Connecticut Other 060669107 CAQH
Connecticut Other ACTIVE MEMBER CAQH
Connecticut Other PENDING CAQH
Connecticut Other 060669107 CAQH
Connecticut Other 060669107 CAQH
Connecticut Other PENDING CAQH
Connecticut MEDICAID 008062567 CAQH
Connecticut Other 060669017 CAQH
Connecticut Other PENDING CAQH

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