MEDICARE: CARA PRIBANIC

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
1	1041S0200X	School Social Worker	9107	CT

General Provider Information

NPI Number	:	1659235976
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CARA PRIBANIC

Provider Business Mailing Address
First Line	:	93 WEED AVE APT 7
Second Line	:
City	:	STAMFORD
State	:	CT
Zip	:	06902-3532
Country	:	US
Telephone Number	:	203-253-3854
Fax Number	:

Provider Business Practice Location Address
First Line	:	93 WEED AVE APT 7
Second Line	:
City	:	STAMFORD
State	:	CT
Zip	:	06902-3532
Country	:	US
Telephone Number	:	203-253-3854
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/11/2025
Last Update Date	:	12/11/2025

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Directions to “ CARA PRIBANIC ” Practice Location

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