Active NPIIndividual providerSole proprietor

Mrs. Dolores A Smith-Ezyk, LCSW

Social Worker, Clinical in Stratford, Connecticut

NPI Number1215040357
Practice location
2296 Main St, Stratford, CT 06615-5974
Fax
203-380-9255
Last updated
July 8, 2007

Dolores Ann Smith-Ezyk is a Social Worker, Clinical based in Stratford, CT. Dolores Ann Smith-Ezyk practices in Stratford, CT and has the professional credentials of LCSW. The NPI Number for Dolores Ann Smith-Ezyk is 1215040357 and holds a License No. 003969CT (CT). The current practice location address for Dolores Ann Smith-Ezyk is 2296 Main St, Stratford, CT 06615-5974 and can be reached out via phone at 203-380-9255 and via fax at 203-380-9255.

Provider Profile Details

NPI Number
1215040357
Provider Name
Dolores Ann Smith-Ezyk
Credential
LCSW
Provider Entity Type
Individual
Gender
Female
Address
2296 Main St, Stratford, CT 06615-5974
Phone Number
203-380-9255
Fax Number
203-380-9255
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
August 15, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
2296 Main St
Stratford, CT 06615-5974
Zip
06615-5974
Phone Number
203-380-9255
Fax Number
203-380-9255
Stratford, CT 06615Get directions →

Provider Business Mailing Address Details

Address
170 Abram St
Stratford, CT 06614-3821
City
Stratford
State
CT
Zip
06614-3821
Phone Number
203-380-9255
Fax Number
203-380-9255

License Information

License Number
003969CT
License State
CT
Taxonomy
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 Mrs. Dolores A Smith-Ezyk, LCSW?

The NPI number of Mrs. Dolores A Smith-Ezyk, LCSW is 1215040357. It was assigned on August 15, 2006 and is currently active in the NPPES registry.

What is the specialty of Mrs. Dolores A Smith-Ezyk, LCSW?

Mrs. Dolores A Smith-Ezyk, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in CT under license number 003969CT.

Where does Mrs. Dolores A Smith-Ezyk, LCSW practice?

The practice location is 2296 Main St, Stratford, CT 06615-5974. The office can be reached at 203-380-9255 (phone) or 203-380-9255 (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 1215040357 directly on the NPPES registry website.

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