MEDICARE: DIANE ELIZABETH HOLZWORTH LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	005118	CT

General Provider Information

NPI Number	:	1255455341
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DIANE ELIZABETH HOLZWORTH LCSW

Provider Business Mailing Address
First Line	:	102 HOLLOWELL RD
Second Line	:
City	:	PRESTON
State	:	CT
Zip	:	06365-8709
Country	:	US
Telephone Number	:	860-608-1584
Fax Number	:	860-859-0712

Provider Business Practice Location Address
First Line	:	410 SALEM TPKE
Second Line	:
City	:	BOZRAH
State	:	CT
Zip	:	06334-1519
Country	:	US
Telephone Number	:	860-608-1584
Fax Number	:	860-859-7012

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/16/2007
Last Update Date	:	04/04/2012

Similar Medicare Providers

1225028657 — CHILDREN'S DENTAL ASSOCIATES OF NLC, PC
Practice Location Address:

392 SALEM TPKE
BOZRAH, CT
06334-1519

Practice Phone: 860-886-5576
Practice Fax: 860-885-1379

1376794024 — DR. LIA MARIE PARICO DDS
Practice Location Address:

392 SALEM TPKE , CHILDREN'S DENTAL ASSOCIATES OF NEW LONDON COUNTY, PC
BOZRAH, CT
06334-1519

Practice Phone: 860-886-5576
Practice Fax:

1629389069 — DR. ROMINA BADAL DMD
Practice Location Address:

392 SALEM TPKE
BOZRAH, CT
06334-1519

Practice Phone: 860-886-5576
Practice Fax:

1053679928 — PATHWAYS ASSOCIATES LLC
Practice Location Address:

410 SALEM TPKE
BOZRAH, CT
06334-1519

Practice Phone: 860-608-1584
Practice Fax:

1548681786 — AMY LANE APRN, L.L.C.
Practice Location Address:

410 SALEM TPKE
BOZRAH, CT
06334-1519

Practice Phone: 860-823-0245
Practice Fax: 860-213-8350

1124521687 — LAUREN DULIEU PRESTI DMD
Practice Location Address:

392 SALEM TPKE
BOZRAH, CT
06334-1519

Practice Phone: 401-215-4117
Practice Fax:

Directions to “ DIANE ELIZABETH HOLZWORTH LCSW” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.