Active NPIIndividual providerSole proprietor

Ms. Deborah L Ellsworth, LCSW

Social Worker, Clinical in Bethany, Connecticut

NPI Number1952542409
Practice location
649 Amity Road, Bethany, CT 06524
Fax
203-891-6128
Last updated
May 15, 2019

Deborah Lynn Ellsworth is a Social Worker, Clinical based in Bethany, CT. Deborah Lynn Ellsworth practices in Bethany, CT and has the professional credentials of LCSW. The NPI Number for Deborah Lynn Ellsworth is 1952542409 and holds a License No. 003980 (CT). The current practice location address for Deborah Lynn Ellsworth is 649 Amity Road, Bethany, CT 06524 and can be reached out via phone at 203-530-2852 and via fax at 203-891-6128.

Provider Profile Details

NPI Number
1952542409
Provider Name
Deborah Lynn Ellsworth
Credential
LCSW
Provider Entity Type
Individual
Gender
Female
Address
649 Amity Road, Bethany, CT 06524
Phone Number
203-530-2852
Fax Number
203-891-6128
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
March 12, 2009
Last Update Date
May 15, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
649 Amity Road
Bethany, CT 06524
Zip
06524
Phone Number
203-530-2852
Fax Number
203-891-6128
Bethany, CT 06524Get directions →

Provider Business Mailing Address Details

Address
649 Amity Road
Unit 103
Bethany, CT 06524
City
Bethany
State
CT
Zip
06524
Phone Number
203-530-2852
Fax Number
203-891-6128

License Information

License Number
003980
License State
CT
Taxonomy
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 Ms. Deborah L Ellsworth, LCSW?

The NPI number of Ms. Deborah L Ellsworth, LCSW is 1952542409. It was assigned on March 12, 2009 and is currently active in the NPPES registry.

What is the specialty of Ms. Deborah L Ellsworth, LCSW?

Ms. Deborah L Ellsworth, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in CT under license number 003980.

Where does Ms. Deborah L Ellsworth, LCSW practice?

The practice location is 649 Amity Road, Bethany, CT 06524. The office can be reached at 203-530-2852 (phone) or 203-891-6128 (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 1952542409 directly on the NPPES registry website.

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