Provider Demographics
NPI:1356126700
Name:LEWANDOWSKA, PAULINA (LMSW)
Entity type:Individual
Prefix:
First Name:PAULINA
Middle Name:
Last Name:LEWANDOWSKA
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24 CHURCHILL ST
Mailing Address - Street 2:
Mailing Address - City:FAIRFIELD
Mailing Address - State:CT
Mailing Address - Zip Code:06824-6107
Mailing Address - Country:US
Mailing Address - Phone:203-993-1911
Mailing Address - Fax:
Practice Address - Street 1:1438 PARK AVE
Practice Address - Street 2:
Practice Address - City:BRIDGEPORT
Practice Address - State:CT
Practice Address - Zip Code:06604-2512
Practice Address - Country:US
Practice Address - Phone:203-583-8181
Practice Address - Fax:203-583-3850
Is Sole Proprietor?:No
Enumeration Date:2023-08-25
Last Update Date:2023-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT7945104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker