Provider Demographics
NPI:1174852347
Name:SADOWSKI, JANE (LPC, LADC, CCDP, CAC)
Entity Type:Individual
Prefix:
First Name:JANE
Middle Name:
Last Name:SADOWSKI
Suffix:
Gender:F
Credentials:LPC, LADC, CCDP, CAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 566
Mailing Address - Street 2:
Mailing Address - City:NEW MILFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06776-0566
Mailing Address - Country:US
Mailing Address - Phone:860-488-0272
Mailing Address - Fax:
Practice Address - Street 1:152 DEER HILL AVE STE 209
Practice Address - Street 2:
Practice Address - City:DANBURY
Practice Address - State:CT
Practice Address - Zip Code:06810-7766
Practice Address - Country:US
Practice Address - Phone:860-488-0272
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-16
Last Update Date:2019-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT000904101YA0400X
CT1833101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT004123840Medicaid
CT008031626Medicaid