Woolfolk, Tawanna

Woolfolk, Tawanna is an sole proprietor health care provider with primary practice located at 140 Captain Thomas Blvd Ste 211B , West Haven CT 06516-5951. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Woolfolk, Tawanna can be contacted via phone (203) 927-0042.

Contact Information

Primary practice address
140 Captain Thomas Blvd Ste 211B West Haven CT 06516-5951
Phone: (203) 927-0042
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 006578 Connecticut

Profile Details

NPI number 1598953259
LBN Legal business name Woolfolk, Tawanna
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 9th, 2007
Last updated Nov 11th, 2022 - about 2 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 1598953259 NPPES
Connecticut MEDICAID 0040399533

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