Feldman, Susan

Feldman, Susan is an individual health care provider with primary practice located at 1 Long Wharf Dr , New Haven CT 06511-5991. 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. Feldman, Susan can be contacted via phone (203) 781-4600.

Contact Information

Primary practice address
1 Long Wharf Dr New Haven CT 06511-5991
Phone: (203) 781-4600
Fax: (203) 781-4624
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X
Behavioral Health & Social Service Providers / Clinical 1041C0700X 001765 Connecticut

Profile Details

NPI number 1134197684
LBN Legal business name Feldman, Susan
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 10th, 2006
Last updated Jan 24th, 2022 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134197684 NPPES
Connecticut MEDICAID 004235918
Connecticut MEDICAID 004217099
Connecticut MEDICAID 008003745
Connecticut Other 071825
Connecticut MEDICAID 004041000

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