Provider Demographics
NPI:1437490067
Name:SAKAL, DEBORAH ANN (LCSW)
Entity Type:Individual
Prefix:MS
First Name:DEBORAH
Middle Name:ANN
Last Name:SAKAL
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MS
Other - First Name:DEBORAH
Other - Middle Name:ANN
Other - Last Name:PRIMPS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSW
Mailing Address - Street 1:PO BOX 122
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:CT
Mailing Address - Zip Code:06468-0122
Mailing Address - Country:US
Mailing Address - Phone:203-268-1390
Mailing Address - Fax:203-220-2247
Practice Address - Street 1:477 MAIN ST
Practice Address - Street 2:SUITE 208
Practice Address - City:MONROE
Practice Address - State:CT
Practice Address - Zip Code:06468-1139
Practice Address - Country:US
Practice Address - Phone:203-268-1390
Practice Address - Fax:203-220-2247
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-06
Last Update Date:2020-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0066481041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical