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Contact Information

JAMIE M AVALLONE, LCSW
30 ELIZABETH ST
DERBY, CT06418-1869
 Phone: 203-954-0543
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Social Worker

104100000X
Indicates primary specialty

NPI Profile & details for JAMIE M AVALLONE · (Female)

NPI # 1053937342
Status Active
Credentials LCSW (Licensed Clinical Social Worker)
Entity Individual
Enumeration date 06/22/2020
Last updated 11/22/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • CT License # 13795
  • CT License # LCSW
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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