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Contact Information

ELIZABETH J BOLT, LCSW
SOUTHEASTERN MENTAL HEALTH AUTHORITY 401 W THAMES ST
BLDG 301
NORWICH, CT06380
 Phone: 860-859-4674
 Fax: 860-859-4790
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Social Worker

104100000X
Indicates primary specialty

NPI Profile & details for ELIZABETH J BOLT · (Female)

NPI Number 1528128238
Status Active
Credentials LCSW (Licensed Clinical Social Worker)
Entity Individual
Enumeration date 12/11/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • CT License # 003387
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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