Active NPIIndividual providerSole proprietor

Andrea Servan, LCSW

Social Worker in Bridgeport, Connecticut

NPI Number1063031144
Practice location
255 Dayton RD, Bridgeport, CT 06606-3116
Fax
—
Last updated
March 27, 2023

Andrea Servan is a Social Worker based in Bridgeport, CT. Andrea Servan practices in Bridgeport, CT and has the professional credentials of LCSW. The NPI Number for Andrea Servan is 1063031144 and holds a License No. 118320 (NY). The current practice location address for Andrea Servan is 255 Dayton RD, Bridgeport, CT 06606-3116 and can be reached out via phone at 203-998-8679.

Provider Profile Details

NPI Number
1063031144
Provider Name
Andrea Servan
Credential
LCSW
Provider Entity Type
Individual
Gender
Female
Address
255 Dayton RD, Bridgeport, CT 06606-3116
Phone Number
203-998-8679
Primary Taxonomy
Social Worker · 104100000X
Sole Proprietor
Yes
Provider Enumeration Date
April 9, 2020
Last Update Date
March 27, 2023
Certification Date
March 27, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
255 Dayton RD
Bridgeport, CT 06606-3116
Zip
06606-3116
Phone Number
203-998-8679
Bridgeport, CT 06606Get directions →

Provider Business Mailing Address Details

Address
255 Dayton RD
Bridgeport, CT 06606-3116
City
Bridgeport
State
CT
Zip
06606-3116
Phone Number
203-998-8679

License Information

License Number (1)
118320
License State (1)
NY
Taxonomy (1)
Social Worker · 104100000X
License Number (2)
58.012571
License State (2)
CT
Taxonomy (2)
Social Worker, Clinical · 1041C0700X
License Number (3)
4204268615
License State (3)
CT
Taxonomy (3)
Social Worker, School · 1041S0200X
License Number (4)
5198
License State (4)
CT
Taxonomy (4)
Social Worker · 104100000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Andrea Servan, LCSW?

The NPI number of Andrea Servan, LCSW is 1063031144. It was assigned on April 9, 2020 and is currently active in the NPPES registry.

What is the specialty of Andrea Servan, LCSW?

Andrea Servan, LCSW is registered under the primary taxonomy Social Worker (code 104100000X), licensed in NY under license number 118320.

Where does Andrea Servan, LCSW practice?

The practice location is 255 Dayton RD, Bridgeport, CT 06606-3116. The office can be reached at 203-998-8679 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1063031144 directly on the NPPES registry website.

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