Provider Demographics
NPI:1942307137
Name:NARDUCCI, THOMAS E (LCSW)
Entity Type:Individual
Prefix:MR
First Name:THOMAS
Middle Name:E
Last Name:NARDUCCI
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:PO BOX 411
Mailing Address - Street 2:
Mailing Address - City:COLLINSVILLE
Mailing Address - State:CT
Mailing Address - Zip Code:06022-0411
Mailing Address - Country:US
Mailing Address - Phone:860-693-1044
Mailing Address - Fax:860-489-2604
Practice Address - Street 1:409 BANTAM RD STE A1
Practice Address - Street 2:
Practice Address - City:LITCHFIELD
Practice Address - State:CT
Practice Address - Zip Code:06759-3200
Practice Address - Country:US
Practice Address - Phone:860-693-1044
Practice Address - Fax:860-489-2604
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0022161041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical