Elisabeth Oldmixon, LSW
Social Worker in Newington, Connecticut
1568214955- Practice location
- 171 Market Sq Ste 206B, Newington, CT 06111-2930
- Phone
- 617-816-9011
- Fax
- —
- Last updated
- May 7, 2024
Elisabeth Oldmixon is a Social Worker based in Newington, CT. Elisabeth Oldmixon practices in Newington, CT and has the professional credentials of LSW. The NPI Number for Elisabeth Oldmixon is 1568214955 and holds a License No. 44SL05399600 (NJ). The current practice location address for Elisabeth Oldmixon is 171 Market Sq Ste 206B, Newington, CT 06111-2930 and can be reached out via phone at 617-816-9011.
Provider Profile Details
- NPI Number
- 1568214955
- Provider Name
- Elisabeth Oldmixon
- Credential
- LSW
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 171 Market Sq Ste 206B, Newington, CT 06111-2930
- Phone Number
- 617-816-9011
- Primary Taxonomy
- Social Worker · 104100000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- April 1, 2024
- Last Update Date
- May 7, 2024
- Certification Date
- May 7, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 171 Market Sq Ste 206B
Newington, CT 06111-2930 - City
- Newington
- State
- Connecticut
- Zip
- 06111-2930
- Phone Number
- 617-816-9011
Provider Business Mailing Address Details
- Address
- 3409 Lassiter Falls Cir
Raleigh, NC 27609-6973 - City
- Raleigh
- State
- NC
- Zip
- 27609-6973
- Phone Number
- 201-725-0639
License Information
- Taxonomy (1)
- Counselor · 101Y00000X
- License Number (2)
- 44SL05399600
- License State (2)
- NJ
- Taxonomy (2)
- Social Worker · 104100000X · 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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Frequently Asked Questions
What is the NPI number of Elisabeth Oldmixon, LSW?
The NPI number of Elisabeth Oldmixon, LSW is 1568214955. It was assigned on April 1, 2024 and is currently active in the NPPES registry.
What is the specialty of Elisabeth Oldmixon, LSW?
Elisabeth Oldmixon, LSW is registered under the primary taxonomy Social Worker (code 104100000X), licensed in NJ under license number 44SL05399600.
Where does Elisabeth Oldmixon, LSW practice?
The practice location is 171 Market Sq Ste 206B, Newington, CT 06111-2930. The office can be reached at 617-816-9011 (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 1568214955 directly on the NPPES registry website.