Provider Demographics
NPI:1023552148
Name:PAUL V. PARENTE, MSW, LCSW
Entity Type:Organization
Organization Name:PAUL V. PARENTE, MSW, LCSW
Other - Org Name:LICENCED CLINICAL SOCIAL WORKER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:LICENSED CLINICAL SOCIAL WORKER
Authorized Official - Prefix:MR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:VINCENT
Authorized Official - Last Name:PARENTE
Authorized Official - Suffix:
Authorized Official - Credentials:MSW, LCSW
Authorized Official - Phone:203-996-6732
Mailing Address - Street 1:86 MAPLEVIEW RD
Mailing Address - Street 2:
Mailing Address - City:WALLINGFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06492-2534
Mailing Address - Country:US
Mailing Address - Phone:203-996-6732
Mailing Address - Fax:
Practice Address - Street 1:86 MAPLEVIEW RD
Practice Address - Street 2:
Practice Address - City:WALLINGFORD
Practice Address - State:CT
Practice Address - Zip Code:06492-2534
Practice Address - Country:US
Practice Address - Phone:203-996-6732
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-12-08
Last Update Date:2016-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT003232251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health