Healthcare Provider Details

I. General information

NPI: 1982948949
Provider Name (Legal Business Name): ALINETTE MONTEIRO M.A, LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/15/2012
Last Update Date: 02/20/2020
Certification Date: 02/20/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1635 CENTRAL AVE
BRIDGEPORT CT
06610-2717
US

IV. Provider business mailing address

1635 CENTRAL AVE
BRIDGEPORT CT
06610-2717
US

V. Phone/Fax

Practice location:
  • Phone: 203-551-7667
  • Fax: 203-551-7690
Mailing address:
  • Phone: 203-551-7667
  • Fax: 203-551-7690

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number007633
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: