Provider Demographics
NPI:1245395979
Name:WERDINGER, INA FAY (LCSW)
Entity Type:Individual
Prefix:MS
First Name:INA
Middle Name:FAY
Last Name:WERDINGER
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 1:246 GEORGETOWN RD
Mailing Address - Street 2:
Mailing Address - City:WESTON
Mailing Address - State:CT
Mailing Address - Zip Code:06883-1233
Mailing Address - Country:US
Mailing Address - Phone:203-454-4344
Mailing Address - Fax:203-454-1829
Practice Address - Street 1:85 EAST AVE
Practice Address - Street 2:
Practice Address - City:NORWALK
Practice Address - State:CT
Practice Address - Zip Code:06851-4905
Practice Address - Country:US
Practice Address - Phone:203-454-1829
Practice Address - Fax:203-454-1829
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0028161041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT137063OtherVALUE OPTIONS
CT140002816CT-04OtherANTHEM BLUE CROSS
CT031088OtherMAGELLAN
CTP1124816OtherOXFORD
CT004205979Medicaid
CT2035179OtherCIGNA
CT7882124OtherAETNA
CT180963OtherMHN
CT031088OtherMAGELLAN