Provider Demographics
NPI:1811586928
Name:TAUROZZI, SAMANTHA F (LMSW)
Entity Type:Individual
Prefix:
First Name:SAMANTHA
Middle Name:F
Last Name:TAUROZZI
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:81 SABBADAY LN
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:CT
Mailing Address - Zip Code:06793-1318
Mailing Address - Country:US
Mailing Address - Phone:860-868-7377
Mailing Address - Fax:
Practice Address - Street 1:81 SABBADAY LN
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:CT
Practice Address - Zip Code:06793-1318
Practice Address - Country:US
Practice Address - Phone:860-868-7377
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-01-13
Last Update Date:2021-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT62302621261041S0200X
CT4932104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchool