Mrs. Channe Fodeman, LCSW
Social Worker, Clinical in Westport, Connecticut
1922114016- Practice location
- 12 Hillspoint Road, Westport, CT 06880-4536
- Phone
- 203-226-3411
- Fax
- —
- Last updated
- July 8, 2007
Channe Fodeman is a Social Worker, Clinical based in Westport, CT. Channe Fodeman practices in Westport, CT and has the professional credentials of LCSW. The NPI Number for Channe Fodeman is 1922114016 and holds a License No. 001072 (CT). The current practice location address for Channe Fodeman is 12 Hillspoint Road, Westport, CT 06880-4536 and can be reached out via phone at 203-226-3411.
Provider Profile Details
- NPI Number
- 1922114016
- Provider Name
- Channe Fodeman
- Credential
- LCSW
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 12 Hillspoint Road, Westport, CT 06880-4536
- Phone Number
- 203-226-3411
- Primary Taxonomy
- Social Worker, Clinical · 1041C0700X
- Sole Proprietor
- No
- Provider Enumeration Date
- August 22, 2006
- Last Update Date
- July 8, 2007
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 12 Hillspoint Road
Westport, CT 06880-4536 - City
- Westport
- State
- Connecticut
- Zip
- 06880-4536
- Phone Number
- 203-226-3411
Provider Business Mailing Address Details
- Address
- 12 Hillspoint Road
Westport, CT 06880-4536 - City
- Westport
- State
- CT
- Zip
- 06880-4536
- Phone Number
- 203-226-3411
License Information
- License Number
- 001072
- License State
- CT
- Taxonomy
- Social Worker, Clinical · 1041C0700X · Primary
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 Mrs. Channe Fodeman, LCSW?
The NPI number of Mrs. Channe Fodeman, LCSW is 1922114016. It was assigned on August 22, 2006 and is currently active in the NPPES registry.
What is the specialty of Mrs. Channe Fodeman, LCSW?
Mrs. Channe Fodeman, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in CT under license number 001072.
Where does Mrs. Channe Fodeman, LCSW practice?
The practice location is 12 Hillspoint Road, Westport, CT 06880-4536. The office can be reached at 203-226-3411 (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 1922114016 directly on the NPPES registry website.