Healthcare Provider Details

I. General information

NPI: 1386325140
Provider Name (Legal Business Name): NOEMI SUAREZ LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/26/2023
Last Update Date: 04/21/2026
Certification Date: 04/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

674 PROSPECT AVE STE 203
HARTFORD CT
06105-4288
US

IV. Provider business mailing address

233 MAIN ST
NEW BRITAIN CT
06051-4204
US

V. Phone/Fax

Practice location:
  • Phone: 860-483-8325
  • Fax:
Mailing address:
  • Phone: 860-481-0079
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number16315
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: