Provider Demographics
NPI:1275731432
Name:NESCI, LOIS M (MA, LSW)
Entity Type:Individual
Prefix:MS
First Name:LOIS
Middle Name:M
Last Name:NESCI
Suffix:
Gender:F
Credentials:MA, LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:839 ASYLUM AVE
Mailing Address - Street 2:
Mailing Address - City:HARTFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06105-2801
Mailing Address - Country:US
Mailing Address - Phone:860-728-2579
Mailing Address - Fax:860-548-1930
Practice Address - Street 1:896 ASYLUM AVE
Practice Address - Street 2:
Practice Address - City:HARTFORD
Practice Address - State:CT
Practice Address - Zip Code:06105-1901
Practice Address - Country:US
Practice Address - Phone:860-728-2579
Practice Address - Fax:860-548-1930
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-10
Last Update Date:2008-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA3024249101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health