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General NPI Number Information
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NPI Number | 1366479792
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Entity Type | Individual
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Provider Name | PATRICIA GORMLEY LCSW
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Gender | Female
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Dates
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Enumeration Date | 06/28/2006
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Last Update Date | 12/07/2025
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Provider Practice Location Address
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Address Line | 43 SHERMAN HILL RD BLG D, SUITE 103
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City | WOODBURY
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State | CT
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Zip | 06798-3651
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Country | US
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Telephone | 203-745-2326
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Fax | 203-519-7979
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Provider Business Mailing Address
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Address Line | 100 MAIN ST N # 129
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City | SOUTHBURY
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State | CT
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Zip | 06488-3840
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Country | US
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Telephone | 203-745-2326
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Fax | 203-519-7979
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 002511
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License Number State | CT
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