Healthcare Provider Details

I. General information

NPI: 1972943991
Provider Name (Legal Business Name): ELIZABETH LEE PINHO LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/05/2013
Last Update Date: 04/13/2026
Certification Date: 04/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 MACDONOUGH PL
MIDDLETOWN CT
06457-3607
US

IV. Provider business mailing address

5302 FLANAGAN DR
GLASTONBURY CT
06033-3295
US

V. Phone/Fax

Practice location:
  • Phone: 860-358-8825
  • Fax:
Mailing address:
  • Phone: 203-253-6310
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number011120
License Number StateCT
# 2
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: