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Contact Information

PAUL J SHAKER, LCSW, MSW, M.DIV.
69 MAPLE AVE
BLOOMFIELD, CT06002-2337
 Phone: 203-525-8358
 Fax: 860-656-6743
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
Indicates primary specialty

NPI Profile & details for PAUL J SHAKER · (Male)

NPI # 1982797353
Status Active
Credentials LCSW, MSW, M.DIV.
Entity Individual
Enumeration date 09/30/2006
Last updated 03/16/2024 - About 2 years ago
Sole proprietor 1 Yes
Identifiers
  • CT License # 5251
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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