Migdole, Scott J
Migdole, Scott J is an individual health care provider with primary practice located at 55 Church St Yale Behavioral Health - Suite 404, New Haven CT 06510-3014. He recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as his primary health care specialty. Migdole, Scott J can be contacted via phone (203) 288-6253.Contact Information
Primary practice address
55 Church St Yale Behavioral Health - Suite 404
New Haven CT 06510-3014
Phone: (203) 288-6253
Fax: (203) 288-0948
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | 004086 | Connecticut |
Profile Details
| NPI number | 1962484964 |
|---|---|
| LBN Legal business name | Migdole, Scott J |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 16th, 2005 |
| Last updated | Mar 16th, 2011 - 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 | 1962484964 | NPPES |
| Connecticut | MEDICAID | 004167715 |
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