Lassen, Kerry
Lassen, Kerry is an sole proprietor health care provider with primary practice located at 2 Trap Falls Rd Ste 120 , Shelton CT 06484. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Lassen, Kerry can be contacted via phone (203) 816-6424.Contact Information
Primary practice address
2 Trap Falls Rd Ste 120
Shelton CT 06484
Phone: (203) 816-6424
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 005707 | Connecticut |
Profile Details
| NPI number | 1477515823 |
|---|---|
| LBN Legal business name | Lassen, Kerry |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 3rd, 2006 |
| Last updated | Nov 7th, 2019 - about 6 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 | 1477515823 | NPPES |
| Connecticut | Other | 42-1643030 | MULTIPLAN |
| Connecticut | MEDICAID | 004247088 | MULTIPLAN |
| Connecticut | Other | 339452 | MULTIPLAN |
| Connecticut | Other | 140005707CT01 | MULTIPLAN |
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