Individual
MR. KEVIN LARDNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1783 MERIDEN WATERBURY TURNPIKE, SUITE K 11, SOUTHINGTON, CT 06489-0268
(203) 404-1010
(860) 426-2898
Mailing address
1 LONG WHARF DR STE 321, NEW HAVEN, CT 06511-5946
(203) 781-4600
(203) 781-4624
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
103TA0400X
Addiction (Substance Use Disorder) Psychologist
—
—
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
10383
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004041000
—
CT
05
—
004217099
—
CT
05
—
008003745
—
CT
05
—
008083698
—
CT
Enumeration date
06/23/2014
Last updated
01/22/2020
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