Stephanie Tullock, LCSW
Social Worker, Clinical in Stafford Springs, Connecticut
1093324295- Practice location
- 201 Chestnut Hill RD, Stafford Springs, CT 06076-4005
- Phone
- 860-684-8290
- Fax
- 860-684-8179
- Last updated
- July 24, 2020
Stephanie Tullock is a Social Worker, Clinical based in Stafford Springs, CT. Stephanie Tullock practices in Stafford Springs, CT and has the professional credentials of LCSW. The NPI Number for Stephanie Tullock is 1093324295 and holds a License No. 010028 (CT). The current practice location address for Stephanie Tullock is 201 Chestnut Hill RD, Stafford Springs, CT 06076-4005 and can be reached out via phone at 860-684-8290 and via fax at 860-684-8179.
Provider Profile Details
- NPI Number
- 1093324295
- Provider Name
- Stephanie Tullock
- Credential
- LCSW
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 201 Chestnut Hill RD, Stafford Springs, CT 06076-4005
- Phone Number
- 860-684-8290
- Fax Number
- 860-684-8179
- Primary Taxonomy
- Social Worker, Clinical · 1041C0700X
- Sole Proprietor
- No
- Provider Enumeration Date
- July 24, 2020
- Last Update Date
- July 24, 2020
- Certification Date
- July 24, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 201 Chestnut Hill RD
Stafford Springs, CT 06076-4005 - City
- Stafford Springs
- State
- Connecticut
- Zip
- 06076-4005
- Phone Number
- 860-684-8290
- Fax Number
- 860-684-8179
Provider Business Mailing Address Details
- Address
- 201 Chestnut Hill RD
Stafford Springs, CT 06076-4005 - City
- Stafford Springs
- State
- CT
- Zip
- 06076-4005
- Phone Number
- 860-684-8283
- Fax Number
- 860-684-8179
License Information
- License Number
- 010028
- License State
- CT
- Taxonomy
- Social Worker, Clinical · 1041C0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Social Worker, Clinical providers near Stafford Springs, CT
View all Social Worker, Clinical providers in Stafford Springs →- Deborah Eddinger, LCSWSocial Worker, Clinical · NPI 1528799707
- Mrs. Karen L Friedmann, MSWSocial Worker, Clinical · NPI 1437170040
- Ms. Bernadina L Van Deusen, LCSWSocial Worker, Clinical · NPI 1366224784
- Ms. Lisa Fargnoli, LCSWSocial Worker, Clinical · NPI 1710302542
- Nancy Kelly, LCSWSocial Worker, Clinical · NPI 1942895107
Frequently Asked Questions
What is the NPI number of Stephanie Tullock, LCSW?
The NPI number of Stephanie Tullock, LCSW is 1093324295. It was assigned on July 24, 2020 and is currently active in the NPPES registry.
What is the specialty of Stephanie Tullock, LCSW?
Stephanie Tullock, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in CT under license number 010028.
Where does Stephanie Tullock, LCSW practice?
The practice location is 201 Chestnut Hill RD, Stafford Springs, CT 06076-4005. The office can be reached at 860-684-8290 (phone) or 860-684-8179 (fax).
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 1093324295 directly on the NPPES registry website.