Samuda, Charmaine
Samuda, Charmaine is an individual health care provider with primary practice located at 30 Hazel Ter Ste 10 , Woodbridge CT 06525-2240. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Samuda, Charmaine can be contacted via phone (203) 553-9957.Contact Information
Primary practice address
30 Hazel Ter Ste 10
Woodbridge CT 06525-2240
Phone: (203) 553-9957
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | 7334 | Connecticut |
Profile Details
| NPI number | 1558548057 |
|---|---|
| LBN Legal business name | Samuda, Charmaine |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 28th, 2008 |
| Last updated | Feb 21st, 2020 - about 4 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 | 1558548057 | NPPES |
| Connecticut | MEDICAID | 004235918 | |
| Connecticut | MEDICAID | 004235900 |
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