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Contact Information

HEIDI L LIVELY, LCSW
15 OSBORNE LN
WOODBRIDGE, CT06525-1728
 Phone: 207-522-3676
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
Indicates primary specialty

NPI Profile & details for HEIDI L LIVELY · (Female)

NPI # 1174694202
Status Active
Credentials LCSW (Licensed Clinical Social Worker)
Entity Individual
Enumeration date 11/12/2006
Last updated 10/31/2023 - About 3 years ago
Sole proprietor 1 Yes
Identifiers
  • CT License # 009440
  • ME License # ME298967
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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