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
Phone: (203) 416-1311
Fax: (203) 373-0835
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1679691265 | NPPES |
Connecticut | MEDICAID | 004040655 |
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