Provider Demographics
NPI:1396543021
Name:NAVARRO-SINISCALCHI, NICOLAS (LCSW)
Entity type:Individual
Prefix:
First Name:NICOLAS
Middle Name:
Last Name:NAVARRO-SINISCALCHI
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 1:51 BLAMEY CIR
Mailing Address - Street 2:
Mailing Address - City:STRATFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06614-3213
Mailing Address - Country:US
Mailing Address - Phone:203-803-5553
Mailing Address - Fax:
Practice Address - Street 1:51 BLAMEY CIR
Practice Address - Street 2:
Practice Address - City:STRATFORD
Practice Address - State:CT
Practice Address - Zip Code:06614-3213
Practice Address - Country:US
Practice Address - Phone:203-803-5553
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-06
Last Update Date:2025-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT136241041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty