NPI 1487093050 · live from the CMS NPI Registry
Alicia Feller LCSW LLC
Social Worker, Clinical in Bridgeport, CT. National Provider Identifier 1487093050, active.
NPI record
| NPI | 1487093050 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Social Worker, Clinical 1041C0700X |
| Practice location | 1057 Broad St, Suite 304, Bridgeport, CT 06604 |
| Practice phone | 203-581-3019 |
| Mailing address | 11 Kindle Ln, Derby, CT 06418 |
| Enumerated | June 17, 2013 |
| Last updated | June 17, 2013 |
| Authorized official | Alicia Feller, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker, Clinical primary | 1041C0700X | 005501 (CT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.