Kinsella, Stephen R.
Kinsella, Stephen R. is an individual health care provider with primary practice located at 51 Sherman Hill Rd Ste 203 , Woodbury CT 06798-3648. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Kinsella, Stephen R. can be contacted via phone (203) 681-1212.Contact Information
Primary practice address
51 Sherman Hill Rd Ste 203
Woodbury CT 06798-3648
Phone: (203) 681-1212
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 006367 | Connecticut |
Profile Details
| NPI number | 1790816049 |
|---|---|
| LBN Legal business name | Kinsella, Stephen R. |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 8th, 2007 |
| Last updated | Dec 3rd, 2018 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1790816049 | NPPES |
| New York | Other | 11163 | CASAC |
| New York | Other | 73075100 | CASAC |
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