Crouch, W Michael
Crouch, W Michael is an sole proprietor health care provider with primary practice located at 999 Summer St Suite 200, Stamford CT 06905-5546. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Crouch, W Michael can be contacted via phone (203) 961-1152.Contact Information
Primary practice address
999 Summer St Suite 200
Stamford CT 06905-5546
Phone: (203) 961-1152
Fax: (203) 357-9030
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 002925 | Connecticut |
Profile Details
| NPI number | 1609802651 |
|---|---|
| LBN Legal business name | Crouch, W Michael |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 23rd, 2006 |
| Last updated | Mar 18th, 2010 - about 14 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 | 1609802651 | NPPES |
| Connecticut | Other | 140002925CT02 | ANTHEM BEHAVORIAL HEALTH |
| Connecticut | Other | 183922 | ANTHEM BEHAVORIAL HEALTH |
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