Provider Demographics
NPI:1740592039
Name:LOZIER-OMAN, JYL (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:JYL
Middle Name:
Last Name:LOZIER-OMAN
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 1:35 BOSTON ST
Mailing Address - Street 2:PO BOX 309
Mailing Address - City:GUILFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06437-2817
Mailing Address - Country:US
Mailing Address - Phone:203-206-1334
Mailing Address - Fax:203-458-7009
Practice Address - Street 1:35 BOSTON ST
Practice Address - Street 2:
Practice Address - City:GUILFORD
Practice Address - State:CT
Practice Address - Zip Code:06437-2817
Practice Address - Country:US
Practice Address - Phone:203-206-1334
Practice Address - Fax:203-458-7009
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-02
Last Update Date:2010-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0046871041C0700X
CTC0220100013741041S0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchool