Provider Demographics
NPI:1891051983
Name:FUCHS, KURT (LCSW)
Entity Type:Individual
Prefix:MR
First Name:KURT
Middle Name:
Last Name:FUCHS
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 1:5 FOREST PARK DR
Mailing Address - Street 2:SUITE 2
Mailing Address - City:FARMINGTON
Mailing Address - State:CT
Mailing Address - Zip Code:06032-1476
Mailing Address - Country:US
Mailing Address - Phone:860-678-0323
Mailing Address - Fax:
Practice Address - Street 1:5 FOREST PARK DR
Practice Address - Street 2:SUITE 2
Practice Address - City:FARMINGTON
Practice Address - State:CT
Practice Address - Zip Code:06032-1476
Practice Address - Country:US
Practice Address - Phone:860-678-0323
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-03
Last Update Date:2012-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0038281041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical