Mitchell, Kimberly A
Mitchell, Kimberly A is an sole proprietor health care provider with primary practice located at 342 Harbor St , Branford CT 06405-4540. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Mitchell, Kimberly A can be contacted via phone (203) 481-4248.Contact Information
Primary practice address
342 Harbor St
Branford CT 06405-4540
Phone: (203) 481-4248
Fax: (203) 483-7727
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 005616 | Connecticut |
Profile Details
| NPI number | 1720253537 |
|---|---|
| LBN Legal business name | Mitchell, Kimberly A |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 23rd, 2008 |
| Last updated | Apr 23rd, 2008 - about 16 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 | 1720253537 | NPPES |
| Connecticut | Other | C01590 | MEDICARE GROUP ID |
| Connecticut | MEDICAID | 004051884 | MEDICARE GROUP ID |
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