Provider Demographics
NPI:1124376082
Name:HIGHTOWER, CONSTANCE EVETTE (LCSW)
Entity Type:Individual
Prefix:MS
First Name:CONSTANCE
Middle Name:EVETTE
Last Name:HIGHTOWER
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 1:2636 CHAUCER ST
Mailing Address - Street 2:
Mailing Address - City:SPARKS
Mailing Address - State:NV
Mailing Address - Zip Code:89436-6492
Mailing Address - Country:US
Mailing Address - Phone:860-227-5558
Mailing Address - Fax:203-779-1221
Practice Address - Street 1:2636 CHAUCER ST
Practice Address - Street 2:
Practice Address - City:SPARKS
Practice Address - State:NV
Practice Address - Zip Code:89436-6492
Practice Address - Country:US
Practice Address - Phone:860-227-5558
Practice Address - Fax:230-779-1221
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-27
Last Update Date:2020-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0071591041C0700X
NV8114-C1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical