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Contact Information

SAMANTHA BOISVERT, LCSW
50 BROOKSIDE RD
WATERBURY, CT06708-1402
 Phone: 203-755-4490
 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 SAMANTHA BOISVERT · (Female)

NPI Number 1578195780
Status Active
Credentials LCSW (Licensed Clinical Social Worker)
Entity Individual
Enumeration date 02/05/2020
Last updated 01/10/2025 - More than a year ago
Sole proprietor 1 No
Identifiers
  • CT License # 12589
  • CT License # 5114
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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