Viggiano, Shirley Ann

Viggiano, Shirley Ann is an individual health care provider with primary practice located at 150 N Main St Suite 130, Manchester CT 06042-2086. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Viggiano, Shirley Ann can be contacted via phone (860) 533-3434.

Contact Information

Primary practice address
150 N Main St Suite 130 Manchester CT 06042-2086
Fax: (860) 647-6829
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 000195 Connecticut

Profile Details

NPI number 1255395281
LBN Legal business name Viggiano, Shirley Ann
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 14th, 2006
Last updated Dec 11th, 2014 - about 10 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 1255395281 NPPES
Connecticut MEDICAID 004025177

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