NPI 1760733786 · live from the CMS NPI Registry
Fanny Elena Aguilar, LCSW
Social Worker, Clinical in Norwich, CT. National Provider Identifier 1760733786, active.
NPI record
| NPI | 1760733786 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Social Worker, Clinical 1041C0700X |
| Practice location | 401 W. Thames St., Southeastern Mental Health Authority, Bldg 301, Norwich, CT 06360 |
| Practice phone | 860-859-4674 |
| Mailing address | 401 W. Thames St, Southeastern Mental Health Authority, Bldg 301, Norwich, CT 06360 |
| Enumerated | October 1, 2012 |
| Last updated | October 1, 2012 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker, Clinical primary | 1041C0700X | 007589 (CT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.