Verrastro, Gillian
Verrastro, Gillian is an sole proprietor health care provider with primary practice located at 27 Glen Rd Ste 306 , Sandy Hook CT 06482-1193. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Verrastro, Gillian can be contacted via phone (203) 981-0597.Contact Information
Primary practice address
27 Glen Rd Ste 306
Sandy Hook CT 06482-1193
Phone: (203) 981-0597
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 006244 | Connecticut |
Profile Details
| NPI number | 1013104744 |
|---|---|
| LBN Legal business name | Verrastro, Gillian |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 26th, 2007 |
| Last updated | Apr 2nd, 2021 - about 5 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 | 1013104744 | NPPES |
| Connecticut | MEDICAID | 004123840 |
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