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NPI Code Detail

MEDICARE: JULIA R CONTAXIS LCSW

MEDICARE:   JULIA R CONTAXIS  LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker004122CT

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1183794OTHERCTMANAGED HEALTH NETWORK
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3000217741OTHERCTUNITED BEHAVIORAL HEALTH
4183794OTHERCTMANAGED HEALTHNETWORK

General Provider Information

NPI Number : 1417999194
Entity Type Code : Individual
Provider Name (Legal Business Name) : JULIA R CONTAXIS LCSW
Provider Business Mailing Address
First Line : 949 BRIDGEPORT AVE
Second Line :
City : MILFORD
State : CT
Zip : 06460-3142
Country : US
Telephone Number : 203-878-6365
Fax Number :
Provider Business Practice Location Address
First Line : 949 BRIDGEPORT AVE
Second Line :
City : MILFORD
State : CT
Zip : 06460-3142
Country : US
Telephone Number : 203-878-6365
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/10/2006
Last Update Date : 09/14/2022

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Directions to “ JULIA R CONTAXIS LCSW” Practice Location

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