Healthcare Provider Details

I. General information

NPI: 1528167160
Provider Name (Legal Business Name): CARMEL F CUYLER LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: CARMEL L FRANCISCOVICH LCSW

II. Dates (important events)

Enumeration Date: 09/21/2006
Last Update Date: 08/28/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1066 STORRS RD
STORRS MANSFIELD CT
06268-2648
US

IV. Provider business mailing address

PO BOX 310
MANSFIELD CENTER CT
06250-0310
US

V. Phone/Fax

Practice location:
  • Phone: 860-429-2928
  • Fax: 860-429-2949
Mailing address:
  • Phone: 860-429-2928
  • Fax: 860-429-2949

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number004334
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: