Nickdow, Donna

Nickdow, Donna is an individual health care provider with primary practice located at 205 Wakelee Ave , Ansonia CT 06401-1234. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Nickdow, Donna can be contacted via phone (203) 735-7481.

Contact Information

Primary practice address
205 Wakelee Ave Ansonia CT 06401-1234
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 003580 Connecticut

Profile Details

NPI number 1780787911
LBN Legal business name Nickdow, Donna
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 6th, 2006
Last updated Dec 13th, 2017 - about 8 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 1780787911 NPPES
Connecticut Other 140003580CT01 BLUE CROSS

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