MEDICARE: ERIKA L CUFFY 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
1	104100000X	Social Worker	007108	CT
2	1041C0700X	Clinical Social Worker	007108	CT

General Provider Information

NPI Number	:	1720373350
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ERIKA L CUFFY LCSW

Provider Business Mailing Address
First Line	:	21 HAZEL TER
Second Line	:	SUITE D
City	:	WOODBRIDGE
State	:	CT
Zip	:	06525-2209
Country	:	US
Telephone Number	:	203-676-0672
Fax Number	:	203-389-1632

Provider Business Practice Location Address
First Line	:	21 HAZEL TER
Second Line	:	SUITE D
City	:	WOODBRIDGE
State	:	CT
Zip	:	06525-2209
Country	:	US
Telephone Number	:	203-676-0672
Fax Number	:	203-389-1632

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

Provider Enumeration Date	:	06/11/2011
Last Update Date	:	06/04/2020

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