Ott, Andrea De
Ott, Andrea De is an individual health care provider with primary practice located at 100 Melrose Ave Ste 103 , Greenwich CT 06830-6277. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Ott, Andrea De can be contacted via phone (203) 970-4738.Contact Information
Primary practice address
100 Melrose Ave Ste 103
Greenwich CT 06830-6277
Phone: (203) 970-4738
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X |
Profile Details
| NPI number | 1568746188 |
|---|---|
| LBN Legal business name | Ott, Andrea De |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 30th, 2011 |
| Last updated | Nov 21st, 2019 - about 5 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 | 1568746188 | NPPES |
| Connecticut | MEDICAID | 84-1863222 |
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