Provider Demographics
NPI:1275570632
Name:PAYSON, HOPE ANN (LCSW,LADC)
Entity Type:Individual
Prefix:
First Name:HOPE
Middle Name:ANN
Last Name:PAYSON
Suffix:
Gender:F
Credentials:LCSW,LADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:132 WILLIAMS AVE
Mailing Address - Street 2:
Mailing Address - City:WINSTED
Mailing Address - State:CT
Mailing Address - Zip Code:06098-1120
Mailing Address - Country:US
Mailing Address - Phone:860-379-1290
Mailing Address - Fax:860-379-1290
Practice Address - Street 1:132 WILLIAMS AVE
Practice Address - Street 2:
Practice Address - City:WINSTED
Practice Address - State:CT
Practice Address - Zip Code:06098-1120
Practice Address - Country:US
Practice Address - Phone:860-379-1290
Practice Address - Fax:860-379-1290
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT000254101YA0400X
CT0032581041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Not Answered1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical