Provider Demographics
NPI:1073617171
Name:SINGLETARY, ALBERT CHRISTER (LCSW)
Entity Type:Individual
Prefix:MR
First Name:ALBERT
Middle Name:CHRISTER
Last Name:SINGLETARY
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:43 GRANITE STREET
Mailing Address - Street 2:APT A
Mailing Address - City:NEW LONDON
Mailing Address - State:CT
Mailing Address - Zip Code:06320
Mailing Address - Country:US
Mailing Address - Phone:860-449-2080
Mailing Address - Fax:860-437-4552
Practice Address - Street 1:43 GRANITE STREET
Practice Address - Street 2:
Practice Address - City:NEW LONDON
Practice Address - State:CT
Practice Address - Zip Code:06320
Practice Address - Country:US
Practice Address - Phone:860-449-2080
Practice Address - Fax:860-437-4552
Is Sole Proprietor?:No
Enumeration Date:2006-09-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT006033104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker