Provider Demographics
NPI:1437299153
Name:KOLODNY, NANCY J (LCSW)
Entity Type:Individual
Prefix:MS
First Name:NANCY
Middle Name:J
Last Name:KOLODNY
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:157 SILVERMINE AVE
Mailing Address - Street 2:
Mailing Address - City:NORWALK
Mailing Address - State:CT
Mailing Address - Zip Code:06850-1611
Mailing Address - Country:US
Mailing Address - Phone:203-849-0334
Mailing Address - Fax:203-849-0776
Practice Address - Street 1:157 SILVERMINE AVE
Practice Address - Street 2:
Practice Address - City:NORWALK
Practice Address - State:CT
Practice Address - Zip Code:06850-1611
Practice Address - Country:US
Practice Address - Phone:203-849-0334
Practice Address - Fax:203-849-0776
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0040651041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical