Cardona Chang, Marisol

Cardona Chang, Marisol is an individual health care provider with primary practice located at 134 State St , Meriden CT 06450-3293. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Cardona Chang, Marisol can be contacted via phone (203) 237-2229.

Contact Information

Primary practice address
134 State St Meriden CT 06450-3293
Phone: (203) 237-2229
Fax: (203) 686-1677
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 007150 Connecticut

Profile Details

NPI number 1235107350
LBN Legal business name Cardona Chang, Marisol
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2006
Last updated Oct 6th, 2009 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235107350 NPPES
Connecticut MEDICAID 004236338

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