Modine, Christy

Modine, Christy is an individual health care provider with primary practice located at 10 School St , Madison CT 06443-3033. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Modine, Christy can be contacted via phone (203) 245-5645.

Contact Information

Primary practice address
10 School St Madison CT 06443-3033
Phone: (203) 245-5645
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 007329 Connecticut

Profile Details

NPI number 1134490709
LBN Legal business name Modine, Christy
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 13th, 2012
Last updated Jan 13th, 2012 - about 13 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.

Request for update

Popular Providers