Provider Demographics
NPI:1578783940
Name:DIGIOIA DASKAL, SHARON (LCSW)
Entity Type:Individual
Prefix:MS
First Name:SHARON
Middle Name:
Last Name:DIGIOIA DASKAL
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 1:24 GRISWOLD ROAD
Mailing Address - Street 2:
Mailing Address - City:WETHERSFIELD
Mailing Address - State:CT
Mailing Address - Zip Code:06109-3620
Mailing Address - Country:US
Mailing Address - Phone:860-563-3121
Mailing Address - Fax:860-563-3121
Practice Address - Street 1:24 GRISWOLD ROAD
Practice Address - Street 2:
Practice Address - City:WETHERSFIELD
Practice Address - State:CT
Practice Address - Zip Code:06109-3620
Practice Address - Country:US
Practice Address - Phone:860-563-3121
Practice Address - Fax:860-563-3121
Is Sole Proprietor?:No
Enumeration Date:2007-04-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0003091041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
217639OtherCOMPSYCH
CT140000309CT01OtherANTHEM BC BS NORTH HAVEN