Active NPIIndividual providerSole proprietor

Matoula Luis

Social Worker, Clinical in Watertown, Connecticut

NPI Number1114757713
Practice location
129 Woolson St, Watertown, CT 06795-2228
Fax
—
Last updated
August 7, 2024

Matoula Luis is a Social Worker, Clinical based in Watertown, CT. Matoula Luis practices in Watertown, CT. The NPI Number for Matoula Luis is 1114757713 and holds a License No. 10957 (CT). The current practice location address for Matoula Luis is 129 Woolson St, Watertown, CT 06795-2228 and can be reached out via phone at 203-525-0051.

Provider Profile Details

NPI Number
1114757713
Provider Name
Matoula Luis
Provider Entity Type
Individual
Gender
Female
Address
129 Woolson St, Watertown, CT 06795-2228
Phone Number
203-525-0051
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
August 7, 2024
Last Update Date
August 7, 2024
Certification Date
August 7, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
129 Woolson St
Watertown, CT 06795-2228
Zip
06795-2228
Phone Number
203-525-0051
Watertown, CT 06795Get directions →

Provider Business Mailing Address Details

Address
129 Woolson St
Watertown, CT 06795-2228
City
Watertown
State
CT
Zip
06795-2228

License Information

License Number (1)
10957
License State (1)
CT
Taxonomy (1)
Social Worker, Clinical · 1041C0700X · Primary
Taxonomy (2)
Social Worker, Clinical · 1041C0700X

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 Matoula Luis?

The NPI number of Matoula Luis is 1114757713. It was assigned on August 7, 2024 and is currently active in the NPPES registry.

What is the specialty of Matoula Luis?

Matoula Luis is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in CT under license number 10957.

Where does Matoula Luis practice?

The practice location is 129 Woolson St, Watertown, CT 06795-2228. The office can be reached at 203-525-0051 (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 1114757713 directly on the NPPES registry website.

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