Janine Fonfara in Colchester - Clinical

Janine Fonfara - NPI 1124215546

Janine Fonfara is a Clinical in Colchester, Connecticut. Janine Fonfara practices all healthcare services and medical treatments related to Clinical. The NPI Number for Janine Fonfara is 1124215546. The last update date is 2015-02-24.

Janine Fonfara's current location address is 163 Broadway St, Colchester, Connecticut. You can contact this provider via phone number 8605374601 and fax number 8605376935. The mailing address for Janine Fonfara is 163 Broadway St, Colchester, Connecticut. To know further, please read the information below!

Provider Profile Detail

Provider Name Janine Fonfara
Address 163 Broadway St, Colchester, Connecticut
Phone Number 8605374601
Fax Number 8605376935
Sole Proprietor N
Credentials LCSW

NPI Number Detail

NPI Number 1124215546
Provider Enumeration Date 2007-09-30
Last Updated Date 2015-02-24

Provider Mailing Address Detail

Address 163 Broadway St
City Colchester
State Connecticut (CT)
Post Code 64151022
Phone Number 8605374601
Fax Number 8605376935

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No 4773
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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FAQs about Janine Fonfara

What is the Janine Fonfara's 1124215546?

The Janine Fonfara's NPI (National Provider Identifier) Number is 1124215546. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Janine Fonfara's facilities are situated?

The facilities of Janine Fonfara are physically located at the following address: 163 Broadway St, Colchester, CT, 64151022.

What is Janine Fonfara's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Janine Fonfara is Clinical, and the taxonomy code that categorizes this field of expertise is 1041C0700X.

On what date did the Centers for Medicare & Medicaid Services assign the 1124215546 to Janine Fonfara?

The Centers for Medicare & Medicaid Services assigned the 1124215546 to Janine Fonfara on 2007-09-30.

When was the information pertaining to Janine Fonfara most recently updated or revised?

The details related to Janine Fonfara, including its address, specialty, and other relevant information, were last updated or revised on 2015-02-24.

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