MEDICARE: DAVID ERNST

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	1041C0700X	Clinical Social Worker	58.014383	CT

General Provider Information

NPI Number	:	1710596747
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID ERNST

Provider Business Mailing Address
First Line	:	41 MECHANIC ST STE 2
Second Line	:
City	:	WINDSOR
State	:	CT
Zip	:	06095-2554
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	41 MECHANIC ST STE 2
Second Line	:
City	:	WINDSOR
State	:	CT
Zip	:	06095-2554
Country	:	US
Telephone Number	:	860-920-4420
Fax Number	:

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

Provider Enumeration Date	:	07/27/2020
Last Update Date	:	12/17/2025

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Directions to “ DAVID ERNST ” Practice Location

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