Provider Demographics
NPI:1285028076
Name:SZELIGOWSKI, SARAH NOEL (MSW,BSW,LMSW)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:NOEL
Last Name:SZELIGOWSKI
Suffix:
Gender:F
Credentials:MSW,BSW,LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:141 E MAIN ST
Mailing Address - Street 2:4TH FLOOR ADMINISTRATION
Mailing Address - City:WATERBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06702-2310
Mailing Address - Country:US
Mailing Address - Phone:203-574-9000
Mailing Address - Fax:203-574-9006
Practice Address - Street 1:160 MIDLAND RD
Practice Address - Street 2:PALADIAN HOUSE
Practice Address - City:WATERBURY
Practice Address - State:CT
Practice Address - Zip Code:06705-3415
Practice Address - Country:US
Practice Address - Phone:203-597-1935
Practice Address - Fax:203-597-8811
Is Sole Proprietor?:No
Enumeration Date:2015-03-19
Last Update Date:2015-08-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CT1205104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT008060535Medicaid
CT13549447OtherCAQH
CTNOT ELIGIBLEOtherMHN MANAGED HEALTH NETWORK
CTPENDINGOtherCIGNA BEHAVIORAL HEALTH
CT060669107OtherANTHEM BCBS OF CT WELLMORE GRP/FACILITY
CT060669107OtherUNITED BEHAVIROAL HEALTH
CTPENDINGOtherAETNA BEHAVIORAL HEALTH
CT060669107OtherUBH-CONNECTICARE WELLMORE GRP/FACILITY
CT060669107OtherUBH-OXFORD HEALTH FREEDOM/LIBERTY
CT060669107OtherUBH-UNITED HEALTHCARE WELLMORE GRP/FACILITY
CT060669107OtherHEALTHYCT WELLMORE GRP/FACILITY
CTNOT ELIGIBLEOtherMHN-TRICARENORTH
CTPENDINGOtherCIGNA BEHAVIORAL HEALTH