Longwell, Lois
Longwell, Lois is an sole proprietor health care provider with primary practice located at 57 Plains Rd Ste 2C , Milford CT 06461-2573. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Longwell, Lois can be contacted via phone (203) 623-6817.Contact Information
Primary practice address
57 Plains Rd Ste 2C
Milford CT 06461-2573
Phone: (203) 623-6817
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 001256 | Connecticut |
Profile Details
| NPI number | 1932243557 |
|---|---|
| LBN Legal business name | Longwell, Lois |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 16th, 2007 |
| Last updated | Jan 25th, 2024 - about 2 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 | 1932243557 | NPPES |
| Connecticut | Other | 140001256CT06 | ANTHEM BEHAVIORAL HEALTH |
| Connecticut | MEDICAID | 004169737 | ANTHEM BEHAVIORAL HEALTH |
| Connecticut | Other | 079329 | ANTHEM BEHAVIORAL HEALTH |
| Connecticut | Other | P381962 | ANTHEM BEHAVIORAL HEALTH |
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