Provider Demographics
NPI:1255483582
Name:SANCHEZ, CONNIE (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:CONNIE
Middle Name:
Last Name:SANCHEZ
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 1:2 GLEN HILL RD
Mailing Address - Street 2:
Mailing Address - City:DANB
Mailing Address - State:CT
Mailing Address - Zip Code:06811
Mailing Address - Country:US
Mailing Address - Phone:203-300-2738
Mailing Address - Fax:203-830-4559
Practice Address - Street 1:2 GLEN HILL RD
Practice Address - Street 2:
Practice Address - City:DANB
Practice Address - State:CT
Practice Address - Zip Code:06811
Practice Address - Country:US
Practice Address - Phone:203-300-2738
Practice Address - Fax:203-830-4559
Is Sole Proprietor?:No
Enumeration Date:2007-01-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT005059104100000X
NY041910R104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker