Jyll R Souto, LCSW
Social Worker in Stratford, Connecticut
1104830892- Practice location
- 305 Boston Ave, Stratford, CT 06614-5246
- Phone
- 203-384-3377
- Fax
- 203-378-8578
- Last updated
- July 8, 2007
Jyll Robin Herzog Souto is a Social Worker based in Stratford, CT. Jyll Robin Herzog Souto practices in Stratford, CT and has the professional credentials of LCSW. The NPI Number for Jyll Robin Herzog Souto is 1104830892 and holds a License No. 104100000X-Social Wo (CT). The current practice location address for Jyll Robin Herzog Souto is 305 Boston Ave, Stratford, CT 06614-5246 and can be reached out via phone at 203-384-3377 and via fax at 203-378-8578.
Provider Profile Details
- NPI Number
- 1104830892
- Provider Name
- Jyll Robin Herzog Souto
- Credential
- LCSW
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 305 Boston Ave, Stratford, CT 06614-5246
- Phone Number
- 203-384-3377
- Fax Number
- 203-378-8578
- Primary Taxonomy
- Social Worker · 104100000X
- Sole Proprietor
- No
- Provider Enumeration Date
- July 28, 2006
- Last Update Date
- July 8, 2007
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 305 Boston Ave
Stratford, CT 06614-5246 - City
- Stratford
- State
- Connecticut
- Zip
- 06614-5246
- Phone Number
- 203-384-3377
- Fax Number
- 203-378-8578
Provider Business Mailing Address Details
- Address
- 305 Boston Ave
Stratford, CT 06614-5246 - City
- Stratford
- State
- CT
- Zip
- 06614-5246
- Phone Number
- 203-384-3377
- Fax Number
- 203-378-8578
License Information
- License Number
- 104100000X-Social Wo
- License State
- CT
- Taxonomy
- Social Worker · 104100000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Social Workers near Stratford, CT
View all Social Workers in Stratford →Frequently Asked Questions
What is the NPI number of Jyll R Souto, LCSW?
The NPI number of Jyll R Souto, LCSW is 1104830892. It was assigned on July 28, 2006 and is currently active in the NPPES registry.
What is the specialty of Jyll R Souto, LCSW?
Jyll R Souto, LCSW is registered under the primary taxonomy Social Worker (code 104100000X), licensed in CT under license number 104100000X-Social Wo.
Where does Jyll R Souto, LCSW practice?
The practice location is 305 Boston Ave, Stratford, CT 06614-5246. The office can be reached at 203-384-3377 (phone) or 203-378-8578 (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 1104830892 directly on the NPPES registry website.