Active NPIIndividual provider

Anna Ebora, LCSW

Social Worker, Clinical in Mansfield Center, Connecticut

NPI Number1124575006
Practice location
189 Storrs RD, Mansfield Center, CT 06250-1683
Fax
860-456-1164
Last updated
May 16, 2020

Anna Ebora is a Social Worker, Clinical based in Mansfield Center, CT. Anna Ebora practices in Mansfield Center, CT and has the professional credentials of LCSW. The NPI Number for Anna Ebora is 1124575006 and holds a License No. 11025 (CT). The current practice location address for Anna Ebora is 189 Storrs RD, Mansfield Center, CT 06250-1683 and can be reached out via phone at 860-465-5922 and via fax at 860-456-1164.

Provider Profile Details

NPI Number
1124575006
Provider Name
Anna Ebora
Credential
LCSW
Provider Entity Type
Individual
Gender
Female
Address
189 Storrs RD, Mansfield Center, CT 06250-1683
Phone Number
860-465-5922
Fax Number
860-456-1164
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
No
Provider Enumeration Date
September 8, 2016
Last Update Date
May 16, 2020
Certification Date
May 16, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
189 Storrs RD
Mansfield Center, CT 06250-1683
Zip
06250-1683
Phone Number
860-465-5922
Fax Number
860-456-1164
Mansfield Center, CT 06250Get directions →

Provider Business Mailing Address Details

Address
123 Beverly RD
West Hartford, CT 06119-1712
City
West Hartford
State
CT
Zip
06119-1712
Phone Number
860-268-0227

License Information

Taxonomy (1)
Social Worker · 104100000X
License Number (3)
11025
License State (3)
CT
Taxonomy (3)
Social Worker, Clinical · 1041C0700X · 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 Anna Ebora, LCSW?

The NPI number of Anna Ebora, LCSW is 1124575006. It was assigned on September 8, 2016 and is currently active in the NPPES registry.

What is the specialty of Anna Ebora, LCSW?

Anna Ebora, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in CT under license number 11025.

Where does Anna Ebora, LCSW practice?

The practice location is 189 Storrs RD, Mansfield Center, CT 06250-1683. The office can be reached at 860-465-5922 (phone) or 860-456-1164 (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 1124575006 directly on the NPPES registry website.

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