Provider Demographics
NPI:1336298777
Name:BELOW, SANDRA H (MSW)
Entity Type:Individual
Prefix:MS
First Name:SANDRA
Middle Name:H
Last Name:BELOW
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:65 S POMPERAUG AVE
Mailing Address - Street 2:
Mailing Address - City:WOODBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06798-3710
Mailing Address - Country:US
Mailing Address - Phone:203-263-2871
Mailing Address - Fax:203-266-4456
Practice Address - Street 1:40 MAIN ST N
Practice Address - Street 2:
Practice Address - City:WOODBURY
Practice Address - State:CT
Practice Address - Zip Code:06798-2966
Practice Address - Country:US
Practice Address - Phone:203-263-2871
Practice Address - Fax:203-266-4456
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT000991CT1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical