Provider Demographics
NPI:1356952477
Name:DIAS, BELARMINA (LICSW)
Entity type:Individual
Prefix:MRS
First Name:BELARMINA
Middle Name:
Last Name:DIAS
Suffix:
Gender:F
Credentials:LICSW
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 1595
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:CT
Mailing Address - Zip Code:06457-8095
Mailing Address - Country:US
Mailing Address - Phone:869-078-8640
Mailing Address - Fax:877-794-3529
Practice Address - Street 1:213 COURT ST FL 6
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:CT
Practice Address - Zip Code:06457-3346
Practice Address - Country:US
Practice Address - Phone:860-788-6404
Practice Address - Fax:877-764-3529
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-12
Last Update Date:2024-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RICSW022121041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical