Peralta, Elisabeth D

Peralta, Elisabeth D is an individual health care provider with primary practice located at 402 E Main St , Waterbury CT 06702-1701. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Peralta, Elisabeth D can be contacted via phone (203) 574-9000.

Contact Information

Primary practice address
402 E Main St Waterbury CT 06702-1701
Phone: (203) 574-9000
Fax: (203) 574-9006
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 6022 Connecticut
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X

Profile Details

NPI number 1114313947
LBN Legal business name Peralta, Elisabeth D
Credentials LCSW,MSW,BSW,ASW
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 8th, 2015
Last updated Jan 18th, 2019 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114313947 NPPES
Connecticut MEDICAID 0808064941
Connecticut Other 13818187
Connecticut Other PENDING
Connecticut Other 060669107
Connecticut Other 060669107
Connecticut Other D339210 402 E MAIN
Connecticut Other PENDING
Connecticut Other PENDING
Connecticut Other 060669107
Connecticut Other 060669107
Connecticut Other PENDING
Connecticut Other 060669107
Connecticut Other 060669107

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