Child And Family Agency Of Southeastern Connecticut, INC.
Clinic/Center in New London, Connecticut
1760402945- Practice location
- 36 Waller St, New London, CT 06320-5216
- Phone
- 860-437-6480
- Fax
- 860-701-3772
- Last updated
- October 7, 2026
Child And Family Agency Of Southeastern Connecticut, INC. is a healthcare organization based in New London, CT. Child And Family Agency Of Southeastern Connecticut, INC. practices in New London, CT. The NPI Number for Child And Family Agency Of Southeastern Connecticut, INC. is 1760402945. The current practice location address for Child And Family Agency Of Southeastern Connecticut, INC. is 36 Waller St, New London, CT 06320-5216 and can be reached out via phone at 860-437-6480 and via fax at 860-701-3772.
Provider Profile Details
- NPI Number
- 1760402945
- Provider Name
- Child And Family Agency Of Southeastern Connecticut, INC.
- Provider Entity Type
- Organization
- Address
- 36 Waller St, New London, CT 06320-5216
- Phone Number
- 860-437-6480
- Fax Number
- 860-701-3772
- Primary Taxonomy
- Clinic/Center · 261Q00000X
- Organization Subpart
- No
- Authorized Official
- Lisa Baxter · Chief Financial And Admin Officer · 860-443-2896
- Other Names
- Bennie Dover Jackson Magnet Middle School (Doing Business As)
- Provider Enumeration Date
- July 20, 2006
- Last Update Date
- October 7, 2026
- Certification Date
- October 7, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 36 Waller St
New London, CT 06320-5216 - City
- New London
- State
- Connecticut
- Zip
- 06320-5216
- Phone Number
- 860-437-6480
- Fax Number
- 860-701-3772
Provider Business Mailing Address Details
- Address
- 255 Hempstead St
New London, CT 06320-6204 - City
- New London
- State
- CT
- Zip
- 06320-6204
License Information
- Taxonomy (1)
- Clinic/Center · 261Q00000X · Primary
- Taxonomy (2)
- Clinical Medical Laboratory · 291U00000X
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 Child And Family Agency Of Southeastern Connecticut, INC.?
The NPI number of Child And Family Agency Of Southeastern Connecticut, INC. is 1760402945. It was assigned on July 20, 2006 and is currently active in the NPPES registry.
What is the specialty of Child And Family Agency Of Southeastern Connecticut, INC.?
Child And Family Agency Of Southeastern Connecticut, INC. is registered under the primary taxonomy Clinic/Center (code 261Q00000X).
Where does Child And Family Agency Of Southeastern Connecticut, INC. practice?
The practice location is 36 Waller St, New London, CT 06320-5216. The office can be reached at 860-437-6480 (phone) or 860-701-3772 (fax).
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 1760402945 directly on the NPPES registry website.