Individual
ELIZABETH MARY STOCKWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
085263-1
NY
104100000X
Social Worker
217650
MA
1041C0700X
Clinical Social Worker
011946
CT
1041C0700X
Clinical Social Worker
Primary
11946
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008107739
—
CT
Enumeration date
09/05/2008
Last updated
02/07/2023
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