Healthcare Provider Details

I. General information

NPI: 1407909542
Provider Name (Legal Business Name): THE CONNECTICUT CHILDREN AND FAMILY CENTER, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/20/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

230 ASHMUN ST # 4
NEW HAVEN CT
06511-3549
US

IV. Provider business mailing address

230 ASHMUN ST # 4
NEW HAVEN CT
06511-3549
US

V. Phone/Fax

Practice location:
  • Phone: 203-772-4228
  • Fax: 203-776-1982
Mailing address:
  • Phone: 203-772-4228
  • Fax: 203-776-1982

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: RHONDA G. LUCINEO
Title or Position: ASSISTANT DIRECTOR
Credential: M.ED.
Phone: 203-772-4228