Provider Demographics
NPI:1932121399
Name:BARONE, SUSAN ARLENE (MSW)
Entity Type:Individual
Prefix:
First Name:SUSAN
Middle Name:ARLENE
Last Name:BARONE
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:72 MARSH RD APT 16
Mailing Address - Street 2:
Mailing Address - City:WILLINGTON
Mailing Address - State:CT
Mailing Address - Zip Code:06279-2115
Mailing Address - Country:US
Mailing Address - Phone:860-564-6100
Mailing Address - Fax:
Practice Address - Street 1:303 PUTNAM RD
Practice Address - Street 2:
Practice Address - City:WAUREGAN
Practice Address - State:CT
Practice Address - Zip Code:06279
Practice Address - Country:US
Practice Address - Phone:860-564-6100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker