Provider Demographics
NPI:1477079499
Name:D'AMORA, LOUIS (LCSW)
Entity Type:Individual
Prefix:
First Name:LOUIS
Middle Name:
Last Name:D'AMORA
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:57 CLARK AVE
Mailing Address - Street 2:
Mailing Address - City:NORTH HAVEN
Mailing Address - State:CT
Mailing Address - Zip Code:06473-3603
Mailing Address - Country:US
Mailing Address - Phone:475-224-6312
Mailing Address - Fax:203-495-9155
Practice Address - Street 1:57 CLARK AVE
Practice Address - Street 2:
Practice Address - City:NORTH HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06473-3603
Practice Address - Country:US
Practice Address - Phone:475-224-6312
Practice Address - Fax:203-495-9155
Is Sole Proprietor?:Yes
Enumeration Date:2017-08-22
Last Update Date:2018-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0098521041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical