Stockwell, Elizabeth Mary

Stockwell, Elizabeth Mary is an sole proprietor health care provider with primary practice located at 300 State St Ste 503 , New London CT 06320-6133. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Stockwell, Elizabeth Mary can be contacted via phone (860) 271-5283.

Contact Information

Primary practice address
300 State St Ste 503 New London CT 06320-6133
Phone: (860) 271-5283
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 085263-1 New York
Behavioral Health & Social Service Providers / Social Worker 104100000X 217650 Massachusetts
Behavioral Health & Social Service Providers / Clinical 1041C0700X 011946 Connecticut
Behavioral Health & Social Service Providers / Clinical 1041C0700X 11946 Connecticut

Profile Details

NPI number 1366690109
LBN Legal business name Stockwell, Elizabeth Mary
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 5th, 2008
Last updated Feb 7th, 2023 - about last year

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 1366690109 NPPES
Connecticut MEDICAID 008107739

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