Organization
LINDA S MITTENTHAL LCSW LLC
Active
Parent organization
LINDA S MITTENTHAL LCSW LLC
Other names
Linda S Mittenthal LCSW LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
LINDA S MITTENTHAL LCSW LLC
Authorized official
LINDA SUSAN MITTENTHAL LCSW (SOLE PROPRIETOR)
(860) 517-6633
Entity
Organization
Contact information
Practice address
1738 ELLINGTON RD, SOUTH WINDSOR, CT 06074-2773
(860) 614-0842
Mailing address
1738 ELLINGTON RD, SOUTH WINDSOR, CT 06074-2773
(860) 614-0842
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008034075
—
CT
01
—
11590385
CAQH
CT
Enumeration date
09/25/2019
Last updated
09/25/2019
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us