Provider Demographics
NPI:1225112832
Name:ADLER, GAIL B (LCSW)
Entity Type:Individual
Prefix:
First Name:GAIL
Middle Name:B
Last Name:ADLER
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 1:74 EAST ST
Mailing Address - Street 2:SUITE 304
Mailing Address - City:PLAINVILLE
Mailing Address - State:CT
Mailing Address - Zip Code:06062-2367
Mailing Address - Country:US
Mailing Address - Phone:860-410-1877
Mailing Address - Fax:860-410-1878
Practice Address - Street 1:74 EAST ST
Practice Address - Street 2:SUITE 304
Practice Address - City:PLAINVILLE
Practice Address - State:CT
Practice Address - Zip Code:06062-2367
Practice Address - Country:US
Practice Address - Phone:860-410-1877
Practice Address - Fax:860-410-1878
Is Sole Proprietor?:No
Enumeration Date:2006-10-24
Last Update Date:2008-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0025631041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT002563OtherLICENSED CLINICAL SOCIAL
CT140002563 CT 01OtherANTHEM BLUE CROSS/BLUE SH
CT299121OtherMHN
CT299121OtherMHN