Provider Demographics
NPI:1447392295
Name:CREAL, NANCY L (LCSW)
Entity Type:Individual
Prefix:MS
First Name:NANCY
Middle Name:L
Last Name:CREAL
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 1:132 STILSON HILL RD
Mailing Address - Street 2:
Mailing Address - City:NEW MILFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06776-5440
Mailing Address - Country:US
Mailing Address - Phone:860-354-0150
Mailing Address - Fax:
Practice Address - Street 1:36 MAIN ST
Practice Address - Street 2:
Practice Address - City:NEW MILFORD
Practice Address - State:CT
Practice Address - Zip Code:06776-2830
Practice Address - Country:US
Practice Address - Phone:860-354-5116
Practice Address - Fax:860-350-2189
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT00025241041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT0004318726OtherAETNA
CT4349068OtherCIGNA
CT84233OtherUBH
CT5139856OtherFIRST HEALTH
CT154406OtherMHN
CTZS122OtherOXFORD
CT140002524CT01OtherANTHEM
CT156188OtherVALUE OPTIONS