Provider Demographics
NPI:1720605041
Name:PAQUIN, ADAM PAUL (LCSW)
Entity Type:Individual
Prefix:
First Name:ADAM
Middle Name:PAUL
Last Name:PAQUIN
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 1:20 GROVE ST
Mailing Address - Street 2:
Mailing Address - City:TRUMBULL
Mailing Address - State:CT
Mailing Address - Zip Code:06611-3622
Mailing Address - Country:US
Mailing Address - Phone:203-415-0250
Mailing Address - Fax:
Practice Address - Street 1:20 GROVE ST
Practice Address - Street 2:
Practice Address - City:TRUMBULL
Practice Address - State:CT
Practice Address - Zip Code:06611-3622
Practice Address - Country:US
Practice Address - Phone:203-415-0250
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-07-02
Last Update Date:2020-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0109671041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical