Active NPIIndividual providerSole proprietor

Mr. Luke G Mihaylo Jr., LCSW LADC

Social Worker, Clinical in Bridgewater, Connecticut

NPI Number1811072374
Practice location
82 Wewaka Brook RD, Bridgewater, CT 06752-1712
Fax
860-355-4297
Last updated
January 15, 2021

Luke George Mihaylo is a Social Worker, Clinical based in Bridgewater, CT. Luke George Mihaylo practices in Bridgewater, CT and has the professional credentials of LCSW LADC. The NPI Number for Luke George Mihaylo is 1811072374 and holds a License No. 30000223ct01-Ladc (CT). The current practice location address for Luke George Mihaylo is 82 Wewaka Brook RD, Bridgewater, CT 06752-1712 and can be reached out via phone at 860-355-2995 and via fax at 860-355-4297.

Provider Profile Details

NPI Number
1811072374
Provider Name
Luke George Mihaylo
Credential
LCSW LADC
Provider Entity Type
Individual
Gender
Male
Address
82 Wewaka Brook RD, Bridgewater, CT 06752-1712
Phone Number
860-355-2995
Fax Number
860-355-4297
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
October 25, 2006
Last Update Date
January 15, 2021
Certification Date
January 15, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
82 Wewaka Brook RD
Bridgewater, CT 06752-1712
Zip
06752-1712
Phone Number
860-355-2995
Fax Number
860-355-4297
Bridgewater, CT 06752Get directions →

Provider Business Mailing Address Details

Address
82 Wewaka Brook RD
Bridgewater, CT 06752-1712
City
Bridgewater
State
CT
Zip
06752-1712
Phone Number
860-355-2995
Fax Number
860-355-4297

License Information

License Number (1)
30000223ct01-Ladc
License State (1)
CT
License Number (2)
140004395ct02
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 Mr. Luke G Mihaylo Jr., LCSW LADC?

The NPI number of Mr. Luke G Mihaylo Jr., LCSW LADC is 1811072374. It was assigned on October 25, 2006 and is currently active in the NPPES registry.

What is the specialty of Mr. Luke G Mihaylo Jr., LCSW LADC?

Mr. Luke G Mihaylo Jr., LCSW LADC is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in CT under license number 30000223ct01-Ladc.

Where does Mr. Luke G Mihaylo Jr., LCSW LADC practice?

The practice location is 82 Wewaka Brook RD, Bridgewater, CT 06752-1712. The office can be reached at 860-355-2995 (phone) or 860-355-4297 (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 1811072374 directly on the NPPES registry website.

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