Provider Demographics
NPI:1932401718
Name:ROSE P. COLADARCI LCSW, LLC
Entity Type:Organization
Organization Name:ROSE P. COLADARCI LCSW, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:ROSE
Authorized Official - Middle Name:P
Authorized Official - Last Name:COLADARCI
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:203-744-8399
Mailing Address - Street 1:1 5TH ST
Mailing Address - Street 2:
Mailing Address - City:DANBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06810-5703
Mailing Address - Country:US
Mailing Address - Phone:203-744-8399
Mailing Address - Fax:203-744-8399
Practice Address - Street 1:246 FEDERAL RD
Practice Address - Street 2:SUITE C23-A
Practice Address - City:BROOKFIELD
Practice Address - State:CT
Practice Address - Zip Code:06804-2647
Practice Address - Country:US
Practice Address - Phone:203-744-8399
Practice Address - Fax:203-744-8399
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-29
Last Update Date:2010-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0045851041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty