Provider Demographics
NPI:1073287538
Name:WOZNIAK, LORRAINE A (LCSW)
Entity Type:Individual
Prefix:
First Name:LORRAINE
Middle Name:A
Last Name:WOZNIAK
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:52 MILLER RD
Mailing Address - Street 2:
Mailing Address - City:BETHANY
Mailing Address - State:CT
Mailing Address - Zip Code:06524-3224
Mailing Address - Country:US
Mailing Address - Phone:860-324-2448
Mailing Address - Fax:
Practice Address - Street 1:52 MILLER RD
Practice Address - Street 2:
Practice Address - City:BETHANY
Practice Address - State:CT
Practice Address - Zip Code:06524-3224
Practice Address - Country:US
Practice Address - Phone:860-324-2448
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-06
Last Update Date:2021-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0063821041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical