Provider Demographics
NPI:1316836950
Name:ENGLE-DULAC, KATHY (LMSW)
Entity type:Individual
Prefix:
First Name:KATHY
Middle Name:
Last Name:ENGLE-DULAC
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20 MAIN ST # 8
Mailing Address - Street 2:
Mailing Address - City:OAKVILLE
Mailing Address - State:CT
Mailing Address - Zip Code:06779-1705
Mailing Address - Country:US
Mailing Address - Phone:203-415-8066
Mailing Address - Fax:799-415-6860
Practice Address - Street 1:20 MAIN ST # 8
Practice Address - Street 2:
Practice Address - City:OAKVILLE
Practice Address - State:CT
Practice Address - Zip Code:06779-1705
Practice Address - Country:US
Practice Address - Phone:203-415-8066
Practice Address - Fax:799-415-6860
Is Sole Proprietor?:No
Enumeration Date:2025-06-30
Last Update Date:2025-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT108021041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical