Samuel R Segal, LPC, LADC
Counselor, Addiction (Substance Use Disorder) in Waterbury, Connecticut
1881874881- Practice location
- 88 Grandview Ave, West Main Behavioral Health, Waterbury, CT 06708-2509
- Phone
- 203-573-6103
- Fax
- 203-573-7578
- Last updated
- November 7, 2007
Samuel R Segal is a Counselor, Addiction (Substance Use Disorder) based in Waterbury, CT. Samuel R Segal practices in Waterbury, CT and has the professional credentials of LPC, LADC. The NPI Number for Samuel R Segal is 1881874881 and holds a License No. 000287 (CT). The current practice location address for Samuel R Segal is 88 Grandview Ave, West Main Behavioral Health, Waterbury, CT 06708-2509 and can be reached out via phone at 203-573-6103 and via fax at 203-573-7578.
Provider Profile Details
- NPI Number
- 1881874881
- Provider Name
- Samuel R Segal
- Credential
- LPC, LADC
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 88 Grandview Ave, West Main Behavioral Health, Waterbury, CT 06708-2509
- Phone Number
- 203-573-6103
- Fax Number
- 203-573-7578
- Primary Taxonomy
- Counselor, Addiction (Substance Use Disorder) · 101YA0400X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- November 7, 2007
- Last Update Date
- November 7, 2007
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 88 Grandview Ave
West Main Behavioral Health
Waterbury, CT 06708-2509 - City
- Waterbury
- State
- Connecticut
- Zip
- 06708-2509
- Phone Number
- 203-573-6103
- Fax Number
- 203-573-7578
Provider Business Mailing Address Details
- Address
- 88 Grandview Ave
West Main Behavioral Health
Waterbury, CT 06708-2509 - City
- Waterbury
- State
- CT
- Zip
- 06708-2509
- Phone Number
- 203-573-6103
- Fax Number
- 203-573-7578
License Information
- License Number (1)
- 000287
- License State (1)
- CT
- Taxonomy (1)
- Counselor, Addiction (Substance Use Disorder) · 101YA0400X · Primary
- License Number (2)
- 000006
- License State (2)
- CT
- Taxonomy (2)
- Counselor, Professional · 101YP2500X
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 Samuel R Segal, LPC, LADC?
The NPI number of Samuel R Segal, LPC, LADC is 1881874881. It was assigned on November 7, 2007 and is currently active in the NPPES registry.
What is the specialty of Samuel R Segal, LPC, LADC?
Samuel R Segal, LPC, LADC is registered under the primary taxonomy Counselor, Addiction (Substance Use Disorder) (code 101YA0400X), licensed in CT under license number 000287.
Where does Samuel R Segal, LPC, LADC practice?
The practice location is 88 Grandview Ave, West Main Behavioral Health, Waterbury, CT 06708-2509. The office can be reached at 203-573-6103 (phone) or 203-573-7578 (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 1881874881 directly on the NPPES registry website.