Desorbo, Lindsey Monique
Desorbo, Lindsey Monique is an sole proprietor health care provider with primary practice located at 41C New London Tpke , Glastonbury CT 06033-4206. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Desorbo, Lindsey Monique can be contacted via phone (475) 331-9065.Contact Information
Primary practice address
41C New London Tpke
Glastonbury CT 06033-4206
Phone: (475) 331-9065
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X | ||
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 011441 | Connecticut |
Profile Details
| NPI number | 1871958173 |
|---|---|
| LBN Legal business name | Desorbo, Lindsey Monique |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 31st, 2015 |
| Last updated | Nov 27th, 2023 - about 2 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 | 1871958173 | NPPES |
| Connecticut | MEDICAID | 008106106 |
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