Provider Demographics
NPI:1720457252
Name:VARGA, NANCY
Entity Type:Individual
Prefix:
First Name:NANCY
Middle Name:
Last Name:VARGA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:NANCY
Other - Middle Name:
Other - Last Name:VARGA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCSW, LADC
Mailing Address - Street 1:67 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:ESSEX
Mailing Address - State:CT
Mailing Address - Zip Code:06426-1032
Mailing Address - Country:US
Mailing Address - Phone:860-575-8484
Mailing Address - Fax:
Practice Address - Street 1:67 N MAIN ST
Practice Address - Street 2:
Practice Address - City:ESSEX
Practice Address - State:CT
Practice Address - Zip Code:06426-1032
Practice Address - Country:US
Practice Address - Phone:860-575-8484
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-09-15
Last Update Date:2021-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT00690101YA0400X
CT76981041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)