Stallworth, Marcus Allen

Stallworth, Marcus Allen is an sole proprietor health care provider with primary practice located at 77 Chapman Ave Fl 3 , Waterbury CT 06710-1309. He recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Stallworth, Marcus Allen can be contacted via phone (203) 568-5662.

Contact Information

Primary practice address
77 Chapman Ave Fl 3 Waterbury CT 06710-1309
Phone: (203) 568-5662
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Behavioral Health & Social Service Providers / Clinical 1041C0700X 1025 Connecticut
Behavioral Health & Social Service Providers / Social Worker 104100000X
Behavioral Health & Social Service Providers / Professional 101YP2500X

Profile Details

NPI number 1992103204
LBN Legal business name Stallworth, Marcus Allen
Credentials LMSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 18th, 2014
Last updated Apr 15th, 2015 - about 11 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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