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NPI 1992184683

NPI 1992184683 : ERICA L SCRANTON : WATERBURY, CT

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General NPI Number Information
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    NPI Number           |    1992184683
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    Entity Type          |    Individual 
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    Provider Name        |    ERICA L SCRANTON
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    05/27/2015
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    Last Update Date     |    05/30/2025
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Provider Practice Location Address
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    Address Line         |    141 E MAIN ST HOME BASED SERVICES 3RD FLR
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    City                 |    WATERBURY
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    State                |    CT
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    Zip                  |    06702-2310
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    Country              |    US
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    Telephone            |    203-575-0466
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    Fax                  |    203-575-1817
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Provider Business Mailing Address
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    Address Line         |    141 E MAIN ST 4TH FLOOR ADMINISTRATION
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    City                 |    WATERBURY
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    State                |    CT
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    Zip                  |    06702-2310
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    Country              |    US
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    Telephone            |    203-574-9000
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    Fax                  |    203-574-9006
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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        |    104100000X
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    Taxonomy Name        |    Social Worker
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    171M00000X
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    Taxonomy Name        |    Case Manager/Care Coordinator
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    1041C0700X
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    Taxonomy Name        |    Clinical Social Worker
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    License Number       |    03883
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    License Number State |    CT
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