Provider Demographics
NPI:1710683859
Name:PARTON, SAMUEL JAMES JOSEPH
Entity Type:Individual
Prefix:MR
First Name:SAMUEL
Middle Name:JAMES JOSEPH
Last Name:PARTON
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 CHESTNUT ST APT 503
Mailing Address - Street 2:
Mailing Address - City:NORWALK
Mailing Address - State:CT
Mailing Address - Zip Code:06854-5909
Mailing Address - Country:US
Mailing Address - Phone:203-913-7972
Mailing Address - Fax:
Practice Address - Street 1:1 CHESTNUT ST APT 503
Practice Address - Street 2:
Practice Address - City:NORWALK
Practice Address - State:CT
Practice Address - Zip Code:06854-5909
Practice Address - Country:US
Practice Address - Phone:203-913-7972
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-01-31
Last Update Date:2023-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1127591041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical