Jennifer V Lusa is a Clinical in Glastonbury, Connecticut. Jennifer V Lusa practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jennifer V Lusa is 1629010913. The last update date is 2022-11-12.
Jennifer V Lusa's current location address is 78 Eastern Blvd Ste 2, Glastonbury, Connecticut. You can contact this provider via phone number 8606520428 and fax number 8606520081. The mailing address for Jennifer V Lusa is 78 Eastern Blvd Ste 2, Glastonbury, Connecticut. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jennifer V Lusa |
|---|---|
| Address | 78 Eastern Blvd Ste 2, Glastonbury, Connecticut |
| Phone Number | 8606520428 |
| Fax Number | 8606520081 |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1629010913 |
|---|---|
| Provider Enumeration Date | 2006-06-12 |
| Last Updated Date | 2022-11-12 |
Provider Mailing Address Detail
| Address | 78 Eastern Blvd Ste 2 |
|---|---|
| City | Glastonbury |
| State | Connecticut (CT) |
| Post Code | 60334325 |
| Phone Number | 8606520428 |
| Fax Number | 8606520081 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 4754 |
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Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4754 | CT | LCSW CT LICENSE # |
Post Comment/ Review Below
Where is the Jennifer V Lusa located?
The Jennifer V Lusa is located at 78 Eastern Blvd Ste 2, Glastonbury, CT 60334325.
Could you please provide the complete physical location address of Jennifer V Lusa?
The Jennifer V Lusa is physically situated at 78 Eastern Blvd Ste 2, in the city of Glastonbury, state of CT, with the postal code 60334325.
What is the Jennifer V Lusa's specialty and taxonomy code?
The Jennifer V Lusa's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.
What is the area of specialization for Jennifer V Lusa, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Jennifer V Lusa is Clinical, and the corresponding taxonomy code that categorizes this area of expertise is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services issue the 1629010913 to Jennifer V Lusa?
The Jennifer V Lusa received its 1629010913 assignment from the Centers for Medicare & Medicaid Services on 2006-06-12.
NPI Number: 1376546309
Address: 1498 Se Tech Center Pl Ste 240, Vancouver, WA