Provider Demographics
NPI:1568535375
Name:SHAPIRO, DEBORAH C (LCS)
Entity Type:Individual
Prefix:
First Name:DEBORAH
Middle Name:C
Last Name:SHAPIRO
Suffix:
Gender:F
Credentials:LCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:29 CRAIGMOOR RD
Mailing Address - Street 2:
Mailing Address - City:WEST HARTFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06107-1210
Mailing Address - Country:US
Mailing Address - Phone:860-983-0712
Mailing Address - Fax:860-236-3606
Practice Address - Street 1:801 FARMINGTON AVE
Practice Address - Street 2:
Practice Address - City:WEST HARTFORD
Practice Address - State:CT
Practice Address - Zip Code:06119-1600
Practice Address - Country:US
Practice Address - Phone:860-983-0712
Practice Address - Fax:860-236-3606
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT00011181041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical