NPI 1316401490 · live from the CMS NPI Registry
Cletus Achibonga, LCSW
Social Worker, Clinical in Naugatuck, CT. National Provider Identifier 1316401490, active.
NPI record
| NPI | 1316401490 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Social Worker, Clinical 1041C0700X |
| Practice location | 35 Elm St, Naugatuck, CT 06770 |
| Practice phone | 203-723-4133 |
| Mailing address | 11 Larchmont Ave, Waterbury, CT 06708 |
| Enumerated | January 23, 2019 |
| Last updated | January 23, 2019 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker, Clinical primary | 1041C0700X | 010419 (CT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.