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Contact Information

CHRISTINE LIDZ, LCSW
1641 DURHAM RD
GUILFORD, CT06437-1639
 Phone: 203-671-4402
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
Indicates primary specialty

NPI Profile & details for CHRISTINE LIDZ · (Female)

NPI Number 1982621744
Status Active
Credentials LCSW (Licensed Clinical Social Worker)
Entity Individual
Enumeration date 07/17/2006
Last updated 02/23/2022 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
  • CT License # 001787
  • CT Medicaid 004039244
  • CT Other 140001787CT01 ANTHEM PROVIDER NUMBER
  • CT Other 191083 MANAGED HEALTH NETWORK
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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