Active NPIIndividual providerSole proprietor

Autumn Cloud-Ingram

Social Worker, Clinical in Bethany, Connecticut

NPI Number1396405585
Practice location
932 Litchfield Tpke, Bethany, CT 06524-3019
Fax
—
Last updated
December 29, 2021

Autumn Cloud-Ingram is a Social Worker, Clinical based in Bethany, CT. Autumn Cloud-Ingram practices in Bethany, CT. The NPI Number for Autumn Cloud-Ingram is 1396405585 and holds a License No. 11955 (CT). The current practice location address for Autumn Cloud-Ingram is 932 Litchfield Tpke, Bethany, CT 06524-3019 and can be reached out via phone at 203-390-0070.

Provider Profile Details

NPI Number
1396405585
Provider Name
Autumn Cloud-Ingram
Provider Entity Type
Individual
Gender
Female
Address
932 Litchfield Tpke, Bethany, CT 06524-3019
Phone Number
203-390-0070
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
December 29, 2021
Last Update Date
December 29, 2021
Certification Date
December 29, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
932 Litchfield Tpke
Bethany, CT 06524-3019
Zip
06524-3019
Phone Number
203-390-0070
Bethany, CT 06524Get directions →

Provider Business Mailing Address Details

Address
932 Litchfield Tpke
Bethany, CT 06524-3019
City
Bethany
State
CT
Zip
06524-3019
Phone Number
203-390-0070

License Information

License Number
11955
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 Autumn Cloud-Ingram?

The NPI number of Autumn Cloud-Ingram is 1396405585. It was assigned on December 29, 2021 and is currently active in the NPPES registry.

What is the specialty of Autumn Cloud-Ingram?

Autumn Cloud-Ingram is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in CT under license number 11955.

Where does Autumn Cloud-Ingram practice?

The practice location is 932 Litchfield Tpke, Bethany, CT 06524-3019. The office can be reached at 203-390-0070 (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 1396405585 directly on the NPPES registry website.

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