Active NPIIndividual providerSole proprietor

Gwendolyn Wayne, LCSW, CMTPT, LMT

Social Worker, Clinical in Branford, Connecticut

NPI Number1558796201
Practice location
17 Old Hickory Ln, Branford, CT 06405-2827
Fax
—
Last updated
March 9, 2015

Gwendolyn Wayne is a Social Worker, Clinical based in Branford, CT. Gwendolyn Wayne practices in Branford, CT and has the professional credentials of LCSW, CMTPT, LMT. The NPI Number for Gwendolyn Wayne is 1558796201 and holds a License No. 000394 (CT). The current practice location address for Gwendolyn Wayne is 17 Old Hickory Ln, Branford, CT 06405-2827 and can be reached out via phone at 203-488-6411.

Provider Profile Details

NPI Number
1558796201
Provider Name
Gwendolyn Wayne
Credential
LCSW, CMTPT, LMT
Provider Entity Type
Individual
Gender
Female
Address
17 Old Hickory Ln, Branford, CT 06405-2827
Phone Number
203-488-6411
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
September 12, 2013
Last Update Date
March 9, 2015
NPI Status
Active

Provider Business Practice Location Address Details

Address
17 Old Hickory Ln
Branford, CT 06405-2827
Zip
06405-2827
Phone Number
203-488-6411
Branford, CT 06405Get directions →

Provider Business Mailing Address Details

Address
Po Box 515
Branford, CT 06405-0515
City
Branford
State
CT
Zip
06405-0515
Phone Number
203-488-6411

License Information

License Number (1)
000394
License State (1)
CT
Taxonomy (1)
Rehabilitation Practitioner · 225400000X
License Number (2)
8668
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 Gwendolyn Wayne, LCSW, CMTPT, LMT?

The NPI number of Gwendolyn Wayne, LCSW, CMTPT, LMT is 1558796201. It was assigned on September 12, 2013 and is currently active in the NPPES registry.

What is the specialty of Gwendolyn Wayne, LCSW, CMTPT, LMT?

Gwendolyn Wayne, LCSW, CMTPT, LMT is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in CT under license number 000394.

Where does Gwendolyn Wayne, LCSW, CMTPT, LMT practice?

The practice location is 17 Old Hickory Ln, Branford, CT 06405-2827. The office can be reached at 203-488-6411 (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 1558796201 directly on the NPPES registry website.

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