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Contact Information

ELM STATE CARE
966 S MAIN ST
PLANTSVILLE, CT06479-1645
 Phone: 860-736-5386
 Fax: 860-263-8291
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Professional

101YP2500X
 

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Marriage & Family Therapist

106H00000X
 

Psychiatric/Mental Health

163WP0808X
Indicates primary specialty

NPI Profile & details for ELM STATE CARE · (Female)

NPI # 1821950387
Status Active
Credentials
Entity Individual
Enumeration date 12/02/2025
Last updated 12/02/2025 - About 6 months ago
Sole proprietor 1 Not specified
Identifiers Not Available
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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