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:
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Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962484964 NPPES
Connecticut MEDICAID 004167715

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