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
Fax: (860) 426-2898
Website:

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1225443856 NPPES
Connecticut MEDICAID 004217099
Connecticut MEDICAID 004041000
Connecticut MEDICAID 008083698
Connecticut MEDICAID 008003745

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