Active NPIIndividual providerSole proprietor

Ms. Idena Maynard-Epps, LCSW

Social Worker, Clinical in Stratford, Connecticut

NPI Number1609599901
Practice location
24 Miranda Ln, Stratford, CT 06615-5770
Fax
—
Last updated
September 21, 2022

Idena Maynard-Epps is a Social Worker, Clinical based in Stratford, CT. Idena Maynard-Epps practices in Stratford, CT and has the professional credentials of LCSW. The NPI Number for Idena Maynard-Epps is 1609599901 and holds a License No. 012274 (CT). The current practice location address for Idena Maynard-Epps is 24 Miranda Ln, Stratford, CT 06615-5770 and can be reached out via phone at 917-890-7712.

Provider Profile Details

NPI Number
1609599901
Provider Name
Idena Maynard-Epps
Credential
LCSW
Provider Entity Type
Individual
Gender
Female
Address
24 Miranda Ln, Stratford, CT 06615-5770
Phone Number
917-890-7712
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
September 21, 2022
Last Update Date
September 21, 2022
Certification Date
September 21, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
24 Miranda Ln
Stratford, CT 06615-5770
Zip
06615-5770
Phone Number
917-890-7712
Stratford, CT 06615Get directions →

Provider Business Mailing Address Details

Address
24 Miranda Ln
Stratford, CT 06615-5770
City
Stratford
State
CT
Zip
06615-5770
Phone Number
917-890-7712

License Information

License Number
012274
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 Ms. Idena Maynard-Epps, LCSW?

The NPI number of Ms. Idena Maynard-Epps, LCSW is 1609599901. It was assigned on September 21, 2022 and is currently active in the NPPES registry.

What is the specialty of Ms. Idena Maynard-Epps, LCSW?

Ms. Idena Maynard-Epps, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in CT under license number 012274.

Where does Ms. Idena Maynard-Epps, LCSW practice?

The practice location is 24 Miranda Ln, Stratford, CT 06615-5770. The office can be reached at 917-890-7712 (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 1609599901 directly on the NPPES registry website.

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