Kopka, Lauren Edna
Kopka, Lauren Edna is an individual health care provider with primary practice located at 121 Wakelee Avenue , Ansonia CT 06401-6079. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Kopka, Lauren Edna can be contacted via phone (203) 503-3652.Contact Information
Primary practice address
121 Wakelee Avenue
Ansonia CT 06401-6079
Phone: (203) 503-3652
Fax: (203) 503-3659
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 8009 | Connecticut |
Profile Details
| NPI number | 1164671103 |
|---|---|
| LBN Legal business name | Kopka, Lauren Edna |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 15th, 2008 |
| Last updated | Aug 22nd, 2012 - about 13 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 | 1164671103 | NPPES |
| Connecticut | MEDICAID | 004039251 |
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