Individual
SONYA EVAN CLOUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW,MSW,BA
Contact information
Practice address
141 E MAIN ST, 2ND FLOOR CHILDREN SERVICES, WATERBURY, CT 06702-2310
(203) 574-9000
(203) 574-9006
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
353
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060669107
UNITED BEHAVIORAL HEALTH WELLMORE GRP/FACILITY
CT
01
—
13803735
CAQH
CT
01
—
NOT ELIGIBLE
MHN TRICARENORTH
CT
01
—
PENDING
AETNA BEHAVIORAL HEALTH
CT
05
—
PENDING
—
CT
Enumeration date
08/24/2010
Last updated
04/05/2016
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