Palinkas, Judith Ann

Palinkas, Judith Ann is an sole proprietor health care provider with primary practice located at 310 Center St , West Hartland CT 06091-4307. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Palinkas, Judith Ann can be contacted via phone (860) 238-7520.

Contact Information

Primary practice address
310 Center St West Hartland CT 06091-4307
Phone: (860) 238-7520
Fax: (860) 738-9956
Website:
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Health care specialties

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

Profile Details

NPI number 1750360756
LBN Legal business name Palinkas, Judith Ann
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 10th, 2006
Last updated Apr 19th, 2013 - about 12 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 1750360756 NPPES
Connecticut Other 800003543CT MEDICARE IDENTIFICATION NUMBER
Connecticut Other 522914 MEDICARE IDENTIFICATION NUMBER
Connecticut Other 2032678 MEDICARE IDENTIFICATION NUMBER
Connecticut Other 7077305 MEDICARE IDENTIFICATION NUMBER
Connecticut Other 350892 MEDICARE IDENTIFICATION NUMBER
Connecticut MEDICAID 004198942 MEDICARE IDENTIFICATION NUMBER
Connecticut Other 140004529CT02 MEDICARE IDENTIFICATION NUMBER
Connecticut Other 303644 MEDICARE IDENTIFICATION NUMBER

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