Provider Demographics
NPI:1417321613
Name:PRETER, BEATRIZ HELENA (LCSW)
Entity Type:Individual
Prefix:
First Name:BEATRIZ
Middle Name:HELENA
Last Name:PRETER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MRS
Other - First Name:BEATRIZ
Other - Middle Name:HELENA
Other - Last Name:PRETER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCSW
Mailing Address - Street 1:1 ENTERPRISE DR STE 110
Mailing Address - Street 2:
Mailing Address - City:SHELTON
Mailing Address - State:CT
Mailing Address - Zip Code:06484-4631
Mailing Address - Country:US
Mailing Address - Phone:203-246-5644
Mailing Address - Fax:203-306-3219
Practice Address - Street 1:1 ENTERPRISE DR STE 110
Practice Address - Street 2:
Practice Address - City:SHELTON
Practice Address - State:CT
Practice Address - Zip Code:06484-4631
Practice Address - Country:US
Practice Address - Phone:203-246-5644
Practice Address - Fax:203-306-3219
Is Sole Proprietor?:No
Enumeration Date:2015-11-25
Last Update Date:2022-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0015261041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT881804320OtherPRACTICE