Sardinas, Gisela

Sardinas, Gisela is an sole proprietor health care provider with primary practice located at 15 S Elm St , Wallingford CT 06492-4741. She recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical, Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Sardinas, Gisela can be contacted via phone (203) 606-2260.

Contact Information

Primary practice address
15 S Elm St Wallingford CT 06492-4741
Phone: (203) 606-2260
Fax: (203) 235-2260
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 000558 Connecticut
Behavioral Health & Social Service Providers / Clinical 1041C0700X 004973 Connecticut
Nursing Service Providers / Registered Nurse 163W00000X 072669 Connecticut
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 003308 Connecticut

Profile Details

NPI number 1861498586
LBN Legal business name Sardinas, Gisela
Credentials APRN, LCSW, LADC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 27th, 2005
Last updated Feb 4th, 2011 - about 13 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 1861498586 NPPES
Connecticut MEDICAID 004236338

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