Chawner, Theresa Marie

Chawner, Theresa Marie is an sole proprietor health care provider with primary practice located at 38 Patula Ct , Southington CT 06489-1816. 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 / Clinical is her primary health care specialty. Chawner, Theresa Marie can be contacted via phone (203) 508-0644.

Contact Information

Primary practice address
38 Patula Ct Southington CT 06489-1816
Phone: (203) 508-0644
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X
Behavioral Health & Social Service Providers / Clinical 1041C0700X 009066 Connecticut

Profile Details

NPI number 1548446925
LBN Legal business name Chawner, Theresa Marie
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 15th, 2008
Last updated Jun 2nd, 2020 - about 5 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 1548446925 NPPES
Connecticut MEDICAID 008084862

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