Active NPIIndividual providerSole proprietor

Ms. Susan Y Servin, LCSW

Social Worker, Clinical in Stratford, Connecticut

NPI Number1225325400
Practice location
111B Chasta Ln, Stratford, CT 06614-8165
Fax
203-795-8905
Last updated
January 17, 2021

Susan Y Servin is a Social Worker, Clinical based in Stratford, CT. Susan Y Servin practices in Stratford, CT and has the professional credentials of LCSW. The NPI Number for Susan Y Servin is 1225325400 and holds a License No. 003557 (CT). The current practice location address for Susan Y Servin is 111B Chasta Ln, Stratford, CT 06614-8165 and can be reached out via phone at 203-980-7560 and via fax at 203-795-8905.

Provider Profile Details

NPI Number
1225325400
Provider Name
Susan Y Servin
Credential
LCSW
Provider Entity Type
Individual
Gender
Female
Address
111B Chasta Ln, Stratford, CT 06614-8165
Phone Number
203-980-7560
Fax Number
203-795-8905
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
July 7, 2011
Last Update Date
January 17, 2021
Certification Date
January 17, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
111B Chasta Ln
Stratford, CT 06614-8165
Zip
06614-8165
Phone Number
203-980-7560
Fax Number
203-795-8905
Stratford, CT 06614Get directions →

Provider Business Mailing Address Details

Address
111B Chasta Ln
Stratford, CT 06614-8165
City
Stratford
State
CT
Zip
06614-8165
Phone Number
203-980-7560
Fax Number
203-795-8905

License Information

License Number
003557
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 Ms. Susan Y Servin, LCSW?

The NPI number of Ms. Susan Y Servin, LCSW is 1225325400. It was assigned on July 7, 2011 and is currently active in the NPPES registry.

What is the specialty of Ms. Susan Y Servin, LCSW?

Ms. Susan Y Servin, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in CT under license number 003557.

Where does Ms. Susan Y Servin, LCSW practice?

The practice location is 111B Chasta Ln, Stratford, CT 06614-8165. The office can be reached at 203-980-7560 (phone) or 203-795-8905 (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 1225325400 directly on the NPPES registry website.

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