Dermer, Laura Elizabeth

Dermer, Laura Elizabeth is an sole proprietor health care provider with primary practice located at 3 W End Ave , Old Greenwich CT 06870-1640. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Dermer, Laura Elizabeth can be contacted via phone (203) 536-6555.

Contact Information

Primary practice address
3 W End Ave Old Greenwich CT 06870-1640
Phone: (203) 536-6555
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 005281 Connecticut

Profile Details

NPI number 1427125293
LBN Legal business name Dermer, Laura Elizabeth
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 29th, 2006
Last updated Oct 30th, 2013 - about 11 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 1427125293 NPPES
Connecticut MEDICAID 004172920
Connecticut MEDICAID 004172912

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