Octavia V Braboy, LCSW
Social Worker, Clinical in New London, Connecticut
1356163323- Practice location
- 300 State St Ste 309, New London, CT 06320-6112
- Phone
- 959-217-8173
- Fax
- —
- Last updated
- February 4, 2025
Octavia Victoria Braboy is a Social Worker, Clinical based in New London, CT. Octavia Victoria Braboy practices in New London, CT and has the professional credentials of LCSW. The NPI Number for Octavia Victoria Braboy is 1356163323 and holds a License No. 5576 (CT). The current practice location address for Octavia Victoria Braboy is 300 State St Ste 309, New London, CT 06320-6112 and can be reached out via phone at 959-217-8173.
Provider Profile Details
- NPI Number
- 1356163323
- Provider Name
- Octavia Victoria Braboy
- Credential
- LCSW
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 300 State St Ste 309, New London, CT 06320-6112
- Phone Number
- 959-217-8173
- Primary Taxonomy
- Social Worker, Clinical · 1041C0700X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- October 30, 2024
- Last Update Date
- February 4, 2025
- Certification Date
- February 4, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 300 State St Ste 309
New London, CT 06320-6112 - City
- New London
- State
- Connecticut
- Zip
- 06320-6112
- Phone Number
- 959-217-8173
Provider Business Mailing Address Details
- Address
- 28 Crown Knoll CT Apt 204
Groton, CT 06340-6273 - City
- Groton
- State
- CT
- Zip
- 06340-6273
- Phone Number
- 860-861-4525
License Information
- License Number
- 5576
- License State
- CT
- Taxonomy
- Social Worker, Clinical · 1041C0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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- Chrystal A Canova, LCSWSocial Worker, Clinical · NPI 1063995124
Frequently Asked Questions
What is the NPI number of Octavia V Braboy, LCSW?
The NPI number of Octavia V Braboy, LCSW is 1356163323. It was assigned on October 30, 2024 and is currently active in the NPPES registry.
What is the specialty of Octavia V Braboy, LCSW?
Octavia V Braboy, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in CT under license number 5576.
Where does Octavia V Braboy, LCSW practice?
The practice location is 300 State St Ste 309, New London, CT 06320-6112. The office can be reached at 959-217-8173 (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 1356163323 directly on the NPPES registry website.