NPI 1093233421 · live from the CMS NPI Registry
Cristal Alicea
Social Worker in Derby, CT. National Provider Identifier 1093233421, active.
NPI record
| NPI | 1093233421 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Social Worker 104100000X |
| Practice location | 30 Elizabeth St, Derby, CT 06418 |
| Practice phone | 203-954-0543 |
| Enumerated | September 6, 2017 |
| Last updated | September 6, 2017 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker primary | 104100000X | 3815 (CT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.