Organization
COS COB COUNSELING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARY M SULLIVAN LCSW (CLINICAL SOCIAL WORKER)
(203) 962-2209
Entity
Organization
Contact information
Practice address
132 E PUTNAM AVE, SUITE H, COS COB, CT 06807-2744
(203) 962-2209
(203) 962-2209
Mailing address
132 E PUTNAM AVE, SUITE H, COS COB, CT 06807-2744
(203) 962-2209
(203) 962-2209
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
005814
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11707654
CAQH
CT
Enumeration date
09/06/2011
Last updated
02/07/2014
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up