Cadella, Concetta Marie

Cadella, Concetta Marie is an sole proprietor health care provider with primary practice located at 238 Jewett Ave , Bridgeport CT 06606-2845. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Cadella, Concetta Marie can be contacted via phone (203) 416-1311.

Contact Information

Primary practice address
238 Jewett Ave Bridgeport CT 06606-2845
Fax: (203) 373-0835
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 001759 Connecticut
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 001759 Connecticut

Profile Details

NPI number 1679691265
LBN Legal business name Cadella, Concetta Marie
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 26th, 2007
Last updated Mar 12th, 2012 - about 13 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 1679691265 NPPES
Connecticut MEDICAID 004040655

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