Yancey, Carol L

Yancey, Carol L is an sole proprietor health care provider with primary practice located at 1275 Post Rd Suite A-18, Fairfield CT 06824-6060. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Yancey, Carol L can be contacted via phone (203) 292-6398.

Contact Information

Primary practice address
1275 Post Rd Suite A-18 Fairfield CT 06824-6060
Fax: (203) 283-0532
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 06145 Connecticut

Profile Details

NPI number 1558428623
LBN Legal business name Yancey, Carol L
Credentials LCSW, ACSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 2nd, 2007
Last updated Oct 26th, 2009 - about 15 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 1558428623 NPPES
Connecticut Other 11511870 CAQH

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