Healthcare Provider Details

I. General information

NPI: 1659235976
Provider Name (Legal Business Name): CARA PRIBANIC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/11/2025
Last Update Date: 12/11/2025
Certification Date: 12/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

93 WEED AVE APT 7
STAMFORD CT
06902-3532
US

IV. Provider business mailing address

93 WEED AVE APT 7
STAMFORD CT
06902-3532
US

V. Phone/Fax

Practice location:
  • Phone: 203-253-3854
  • Fax:
Mailing address:
  • Phone: 203-253-3854
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041S0200X
TaxonomySchool Social Worker
License Number9107
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: