Garfunkel, Marissa

Garfunkel, Marissa is an individual health care provider with primary practice located at 5 Linsley St , North Haven CT 06473-2518. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Garfunkel, Marissa can be contacted via phone (203) 239-5321.

Contact Information

Primary practice address
5 Linsley St North Haven CT 06473-2518
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 008822 Connecticut

Profile Details

NPI number 1710384748
LBN Legal business name Garfunkel, Marissa
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 19th, 2014
Last updated Feb 5th, 2018 - about 8 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 1710384748 NPPES
Connecticut MEDICAID 004125862

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