Healthcare Provider Details

I. General information

NPI: 1578740189
Provider Name (Legal Business Name): JOSEFINA CESPEDES LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JOSEFINA CESPEDES-SANTACRUZ

II. Dates (important events)

Enumeration Date: 01/25/2008
Last Update Date: 04/15/2025
Certification Date: 04/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1372 SUMMER ST STE 2
STAMFORD CT
06905-5366
US

IV. Provider business mailing address

1372 SUMMER ST STE 2
STAMFORD CT
06905-5366
US

V. Phone/Fax

Practice location:
  • Phone: 959-210-6658
  • Fax:
Mailing address:
  • Phone: 203-539-0133
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code102X00000X
TaxonomyPoetry Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YP1600X
TaxonomyPastoral Counselor
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number6144
License Number StateCT
# 4
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: