Provider Demographics
NPI:1467535757
Name:ARNONE, RALPH A (LCSW)
Entity Type:Individual
Prefix:
First Name:RALPH
Middle Name:A
Last Name:ARNONE
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:RALPH
Other - Middle Name:A
Other - Last Name:ARNONE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCSW
Mailing Address - Street 1:95 HILLSIDE AVE
Mailing Address - Street 2:
Mailing Address - City:BRIDGEPORT
Mailing Address - State:CT
Mailing Address - Zip Code:06604-1415
Mailing Address - Country:US
Mailing Address - Phone:203-685-3443
Mailing Address - Fax:203-612-8016
Practice Address - Street 1:59 QUINNIPIAC AVE
Practice Address - Street 2:
Practice Address - City:NORTH HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06473-3904
Practice Address - Country:US
Practice Address - Phone:203-685-3443
Practice Address - Fax:203-612-8016
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-23
Last Update Date:2011-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0045591041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT140004559CT-03OtherANTHEM BEHAVIORAL HEALTH
CT514519OtherVALUE OPTIONS
CT004243078Medicaid
CT295251OtherMHN