Active NPIIndividual provider

Angie Botero Castro, LCSW

Social Worker, Clinical in Mansfield Center, Connecticut

NPI Number1841875366
Practice location
140 N Frontage RD, Mansfield Center, CT 06250-1648
Fax
860-450-1357
Last updated
June 28, 2023

Angie Botero Castro is a Social Worker, Clinical based in Mansfield Center, CT. Angie Botero Castro practices in Mansfield Center, CT and has the professional credentials of LCSW. The NPI Number for Angie Botero Castro is 1841875366 and holds a License No. 5633 (CT). The current practice location address for Angie Botero Castro is 140 N Frontage RD, Mansfield Center, CT 06250-1648 and can be reached out via phone at 860-456-2261 and via fax at 860-450-1357.

Provider Profile Details

NPI Number
1841875366
Provider Name
Angie Botero Castro
Credential
LCSW
Provider Entity Type
Individual
Gender
Female
Address
140 N Frontage RD, Mansfield Center, CT 06250-1648
Phone Number
860-456-2261
Fax Number
860-450-1357
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
No
Provider Enumeration Date
March 16, 2021
Last Update Date
June 28, 2023
Certification Date
June 28, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
140 N Frontage RD
Mansfield Center, CT 06250-1648
Zip
06250-1648
Phone Number
860-456-2261
Fax Number
860-450-1357
Mansfield Center, CT 06250Get directions →

Provider Business Mailing Address Details

Address
1007 N Main St
Dayville, CT 06241-2170
City
Dayville
State
CT
Zip
06241-2170
Phone Number
860-774-2020
Fax Number
860-774-0826

License Information

License Number (1)
5633
License State (1)
CT
Taxonomy (1)
Social Worker, Clinical · 1041C0700X
License Number (2)
13134
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 Angie Botero Castro, LCSW?

The NPI number of Angie Botero Castro, LCSW is 1841875366. It was assigned on March 16, 2021 and is currently active in the NPPES registry.

What is the specialty of Angie Botero Castro, LCSW?

Angie Botero Castro, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in CT under license number 5633.

Where does Angie Botero Castro, LCSW practice?

The practice location is 140 N Frontage RD, Mansfield Center, CT 06250-1648. The office can be reached at 860-456-2261 (phone) or 860-450-1357 (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 1841875366 directly on the NPPES registry website.

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