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General NPI Number Information
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NPI Number | 1801770508
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Entity Type | Individual
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Provider Name | PATRICIA CANNIZZARO LCSW
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Gender | Female
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Dates
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Enumeration Date | 08/05/2025
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Last Update Date | 09/30/2025
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Provider Practice Location Address
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Address Line | 72 NORTH ST
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City | DANBURY
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State | CT
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Zip | 06810-5648
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Country | US
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Telephone | 203-748-1200
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Fax |
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Provider Business Mailing Address
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Address Line | 51 BEAR MOUNTAIN RD
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City | DANBURY
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State | CT
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Zip | 06811-3069
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Country | US
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Telephone | 860-796-8875
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Fax |
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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 | 005623
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License Number State | CT
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