Active NPIIndividual provider

Mr. Teodoro Anderson-Diaz, LCSW, LADC

Social Worker, Clinical in Hartford, Connecticut

NPI Number1952417081
Practice location
54 Eastview St, 210 Wethersfield Avenue, Hartford, CT 06114-2312
Fax
—
Last updated
February 8, 2012

Teodoro Anderson-Diaz is a Social Worker, Clinical based in Hartford, CT. Teodoro Anderson-Diaz practices in Hartford, CT and has the professional credentials of LCSW, LADC. The NPI Number for Teodoro Anderson-Diaz is 1952417081 and holds a License No. 000554 (CT). The current practice location address for Teodoro Anderson-Diaz is 54 Eastview St, 210 Wethersfield Avenue, Hartford, CT 06114-2312 and can be reached out via phone at 860-956-1761.

Provider Profile Details

NPI Number
1952417081
Provider Name
Teodoro Anderson-Diaz
Credential
LCSW, LADC
Provider Entity Type
Individual
Gender
Male
Address
54 Eastview St, 210 Wethersfield Avenue, Hartford, CT 06114-2312
Phone Number
860-956-1761
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
No
Provider Enumeration Date
August 22, 2006
Last Update Date
February 8, 2012
NPI Status
Active

Provider Business Practice Location Address Details

Address
54 Eastview St
210 Wethersfield Avenue
Hartford, CT 06114-2312
Zip
06114-2312
Phone Number
860-956-1761
Hartford, CT 06114Get directions →

Provider Business Mailing Address Details

Address
54 Eastview St
Hartford, CT 06114-2312
City
Hartford
State
CT
Zip
06114-2312
Phone Number
860-956-1761

License Information

License Number (1)
000554
License State (1)
CT
License Number (2)
006712
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. Teodoro Anderson-Diaz, LCSW, LADC?

The NPI number of Mr. Teodoro Anderson-Diaz, LCSW, LADC is 1952417081. It was assigned on August 22, 2006 and is currently active in the NPPES registry.

What is the specialty of Mr. Teodoro Anderson-Diaz, LCSW, LADC?

Mr. Teodoro Anderson-Diaz, LCSW, LADC is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in CT under license number 000554.

Where does Mr. Teodoro Anderson-Diaz, LCSW, LADC practice?

The practice location is 54 Eastview St, 210 Wethersfield Avenue, Hartford, CT 06114-2312. The office can be reached at 860-956-1761 (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 1952417081 directly on the NPPES registry website.

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