Individual
SARAH NOEL SZELIGOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW,BSW,LMSW
Contact information
Practice address
160 MIDLAND RD, PALADIAN HOUSE, WATERBURY, CT 06705-3415
(203) 597-1935
(203) 597-8811
Mailing address
141 E MAIN ST, 4TH FLOOR ADMINISTRATION, WATERBURY, CT 06702-2310
(203) 574-9000
(203) 574-9006
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
1205
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008060535
—
CT
01
—
060669107
ANTHEM BCBS OF CT WELLMORE GRP/FACILITY
CT
01
—
13549447
CAQH
CT
01
—
NOT ELIGIBLE
MHN MANAGED HEALTH NETWORK
CT
01
—
PENDING
CIGNA BEHAVIORAL HEALTH
CT
Enumeration date
03/19/2015
Last updated
08/28/2015
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