Provider Demographics
NPI:1821234006
Name:ROSARIO, MILNA (LCSW)
Entity Type:Individual
Prefix:
First Name:MILNA
Middle Name:
Last Name:ROSARIO
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 1:6 POQUONOCK AVENUE
Mailing Address - Street 2:
Mailing Address - City:WINDSOR
Mailing Address - State:CT
Mailing Address - Zip Code:06095
Mailing Address - Country:US
Mailing Address - Phone:860-966-2341
Mailing Address - Fax:860-285-8744
Practice Address - Street 1:6 POQUONOCK AVENUE
Practice Address - Street 2:
Practice Address - City:WINDSOR
Practice Address - State:CT
Practice Address - Zip Code:06095
Practice Address - Country:US
Practice Address - Phone:860-966-2341
Practice Address - Fax:860-285-8744
Is Sole Proprietor?:No
Enumeration Date:2008-12-18
Last Update Date:2016-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0067031041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical