Healthcare Provider Details

I. General information

NPI: 1952244196
Provider Name (Legal Business Name): WILLONA AMOAKOH LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

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

III. Provider practice location address

415 SILAS DEANE HWY STE 401
WETHERSFIELD CT
06109-2119
US

IV. Provider business mailing address

15 COLGATE DR
MANCHESTER CT
06042-8506
US

V. Phone/Fax

Practice location:
  • Phone: 860-299-5777
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number1432
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: