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Contact Information

CYNTHIA DAIGNEAULT, LCSW, LADC, EMT
1 WAHOO AVE
GROTON, CT06349-2324
 Phone: 860-694-4020
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Addiction (Substance Use Disorder)

101YA0400X
 

Emergency Medical Technician, Basic

146N00000X
Indicates primary specialty

NPI Profile & details for CYNTHIA DAIGNEAULT · (Female)

NPI Number 1699335372
Status Active
Credentials LCSW, LADC, EMT
Entity Individual
Enumeration date 06/16/2019
Last updated 06/17/2019 - About 7 years ago
Sole proprietor 1 Yes
Identifiers
  • CT License # 001310
  • CT License # 4141
  • CT License # 941502
  • RI License # CSW02137
  • CT Medicaid 001310
  • CT Medicaid 4141
  • CT Medicaid 941502
  • RI Medicaid CSW02137
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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