Santiago-Kozmon, Annette
Santiago-Kozmon, Annette is an sole proprietor health care provider with primary practice located at 17 Cedar Street , New Britain CT 06052-2224. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Santiago-Kozmon, Annette can be contacted via phone (860) 356-0828.Contact Information
Primary practice address
17 Cedar Street
New Britain CT 06052-2224
Phone: (860) 356-0828
Fax: (860) 356-0829
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 006137 | Connecticut |
Profile Details
| NPI number | 1629104245 |
|---|---|
| LBN Legal business name | Santiago-Kozmon, Annette |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 26th, 2007 |
| Last updated | Oct 9th, 2009 - 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 | 1629104245 | NPPES |
| Connecticut | MEDICAID | 004261236 |
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