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Contact Information

KEVIN LARDNER, LCSW
1783 MERIDEN WATERBURY TURNPIKE
SUITE K 11
SOUTHINGTON, CT06489-0268
 Phone: 203-404-1010
 Fax: 860-426-2898
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Addiction (Substance Use Disorder)

101YA0400X
 

Addiction (Substance Use Disorder)

103TA0400X 62 Psychologist, Clinical
 

Social Worker

104100000X
Indicates primary specialty

NPI Profile & details for KEVIN LARDNER · (Male)

NPI # 1225443856
Status Active
Credentials LCSW (Licensed Clinical Social Worker)
Entity Individual
Enumeration date 06/23/2014
Last updated 01/22/2020 - About 6 years ago
Sole proprietor 1 Yes
Identifiers
  • CT License # 10383
  • CT Medicaid 004041000
  • CT Medicaid 004217099
  • CT Medicaid 008003745
  • CT Medicaid 008083698
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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