Provider Demographics
NPI:1417451923
Name:NANCY DART ,LCSW, LLC
Entity Type:Organization
Organization Name:NANCY DART ,LCSW, LLC
Other - Org Name:NANCY DART, LCSW, LLC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:
Authorized Official - Last Name:DART
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:860-904-8178
Mailing Address - Street 1:576 MOUNTAIN RD APT F
Mailing Address - Street 2:
Mailing Address - City:WEST HARTFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06117-1826
Mailing Address - Country:US
Mailing Address - Phone:860-904-8178
Mailing Address - Fax:
Practice Address - Street 1:16 BRACE RD FL 2
Practice Address - Street 2:
Practice Address - City:WEST HARTFORD
Practice Address - State:CT
Practice Address - Zip Code:06107-1825
Practice Address - Country:US
Practice Address - Phone:860-904-8178
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-03-20
Last Update Date:2018-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty