Active NPIIndividual provider

Lisa Ellen Dewitt, LCSW

Social Worker, Clinical in East Hartford, Connecticut

NPI Number1477561488
Practice location
77 Cherry St, East Hartford, CT 06108-2053
Fax
—
Last updated
March 25, 2021

Lisa Ellen Dewitt is a Social Worker, Clinical based in East Hartford, CT. Lisa Ellen Dewitt practices in East Hartford, CT and has the professional credentials of LCSW. The NPI Number for Lisa Ellen Dewitt is 1477561488 and holds a License No. 007577 (CT). The current practice location address for Lisa Ellen Dewitt is 77 Cherry St, East Hartford, CT 06108-2053 and can be reached out via phone at 860-428-9158.

Provider Profile Details

NPI Number
1477561488
Provider Name
Lisa Ellen Dewitt
Credential
LCSW
Provider Entity Type
Individual
Gender
Female
Address
77 Cherry St, East Hartford, CT 06108-2053
Phone Number
860-428-9158
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
No
Other Names
Lisa Ellen Angilly, LCSW (Other Name)
Provider Enumeration Date
August 4, 2006
Last Update Date
March 25, 2021
Certification Date
March 25, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
77 Cherry St
East Hartford, CT 06108-2053
Zip
06108-2053
Phone Number
860-428-9158
East Hartford, CT 06108Get directions →

Provider Business Mailing Address Details

Address
79 Doubleday RD
Columbia, CT 06237-1400
City
Columbia
State
CT
Zip
06237-1400
Phone Number
860-428-9158

License Information

Taxonomy (1)
Counselor, Mental Health · 101YM0800X
License Number (2)
007577
License State (2)
CT
Taxonomy (2)
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 Lisa Ellen Dewitt, LCSW?

The NPI number of Lisa Ellen Dewitt, LCSW is 1477561488. It was assigned on August 4, 2006 and is currently active in the NPPES registry.

What is the specialty of Lisa Ellen Dewitt, LCSW?

Lisa Ellen Dewitt, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in CT under license number 007577.

Where does Lisa Ellen Dewitt, LCSW practice?

The practice location is 77 Cherry St, East Hartford, CT 06108-2053. The office can be reached at 860-428-9158 (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 1477561488 directly on the NPPES registry website.

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