Lardner, Kevin
Lardner, Kevin is an sole proprietor health care provider with primary practice located at 1783 Meriden Waterbury Turnpike Suite K 11, Southington CT 06489-0268. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Lardner, Kevin can be contacted via phone (203) 404-1010.Contact Information
Primary practice address
1783 Meriden Waterbury Turnpike Suite K 11
Southington CT 06489-0268
Phone: (203) 404-1010
Fax: (860) 426-2898
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | ||
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 103TA0400X | ||
Behavioral Health & Social Service Providers / Social Worker | 104100000X | ||
Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 10383 | Connecticut |
Profile Details
NPI number | 1225443856 |
---|---|
LBN Legal business name | Lardner, Kevin |
Credentials | Licensed Clinical Social Worker (LCSW) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jun 23rd, 2014 |
Last updated | Jan 22nd, 2020 - about 5 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 | 1225443856 | NPPES |
Connecticut | MEDICAID | 004217099 | |
Connecticut | MEDICAID | 004041000 | |
Connecticut | MEDICAID | 008083698 | |
Connecticut | MEDICAID | 008003745 |
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