Kozlowski, Kimberly Cegelka

Kozlowski, Kimberly Cegelka is an individual health care provider with primary practice located at Griffin Hospital 130 Division Street, Derby CT 06418. 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. Kozlowski, Kimberly Cegelka can be contacted via phone (203) 732-7550.

Contact Information

Primary practice address
Griffin Hospital 130 Division Street Derby CT 06418
Phone: (203) 732-7550
Fax: (203) 732-1550
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 7072 Connecticut

Profile Details

NPI number 1821295817
LBN Legal business name Kozlowski, Kimberly Cegelka
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 2nd, 2007
Last updated Jun 8th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1821295817 NPPES
Connecticut MEDICAID 004040549
Connecticut MEDICAID 004025219
Connecticut MEDICAID 004041927

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