Provider Demographics
NPI:1730076712
Name:GINSBURG, TALIA (LCSW)
Entity type:Individual
Prefix:
First Name:TALIA
Middle Name:
Last Name:GINSBURG
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 1:31 OAKWOOD AVE UNIT 3
Mailing Address - Street 2:
Mailing Address - City:WEST HARTFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06119-2174
Mailing Address - Country:US
Mailing Address - Phone:215-847-0301
Mailing Address - Fax:
Practice Address - Street 1:125 LASALLE RD STE 300
Practice Address - Street 2:
Practice Address - City:WEST HARTFORD
Practice Address - State:CT
Practice Address - Zip Code:06107-2311
Practice Address - Country:US
Practice Address - Phone:860-986-6626
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-21
Last Update Date:2025-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0251001041C0700X
CT58.0148771041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical