Provider Demographics
NPI:1497242788
Name:NYSER, FELICIA R (LCSW)
Entity Type:Individual
Prefix:
First Name:FELICIA
Middle Name:R
Last Name:NYSER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:FELICIA
Other - Middle Name:R
Other - Last Name:ARESCO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMSW
Mailing Address - Street 1:15 MARMOR CT
Mailing Address - Street 2:
Mailing Address - City:WETHERSFIELD
Mailing Address - State:CT
Mailing Address - Zip Code:06109-3353
Mailing Address - Country:US
Mailing Address - Phone:860-803-7550
Mailing Address - Fax:
Practice Address - Street 1:15 MARMOR CT
Practice Address - Street 2:
Practice Address - City:WETHERSFIELD
Practice Address - State:CT
Practice Address - Zip Code:06109-3353
Practice Address - Country:US
Practice Address - Phone:860-803-7550
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-04-23
Last Update Date:2023-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0036561041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical