Provider Demographics
NPI:1184595167
Name:WORONECKI, MAUREEN F (LPC, CRC)
Entity type:Individual
Prefix:
First Name:MAUREEN
Middle Name:F
Last Name:WORONECKI
Suffix:
Gender:F
Credentials:LPC, CRC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:80 SIMSBURY MANOR DR
Mailing Address - Street 2:
Mailing Address - City:WEATOGUE
Mailing Address - State:CT
Mailing Address - Zip Code:06089-9749
Mailing Address - Country:US
Mailing Address - Phone:860-386-8039
Mailing Address - Fax:
Practice Address - Street 1:80 SIMSBURY MANOR DR
Practice Address - Street 2:
Practice Address - City:WEATOGUE
Practice Address - State:CT
Practice Address - Zip Code:06089-9749
Practice Address - Country:US
Practice Address - Phone:860-386-8039
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-09-15
Last Update Date:2025-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT003154101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional