Individual
MRS. DIANE RENE BRITZ
Active
Individual
MRS. DIANE RENE BRITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW,MSW,BA
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
006365
CT
1041C0700X
Clinical Social Worker
Primary
C010153
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00802743
—
CT
01
—
060669107
UBH/CONNECTICARE WELLMORE GRP/FACILITY
CT
01
—
12754691
CAQH
CT
01
—
4970561
CIGNA BEHAVIORAL HEALTH
CT
01
—
539515
MHN MANAGED HEALTH NETWORK
CT
01
—
539515 PENDING
MHN TRICARE NORTH
CT
01
—
9641730
AETNA BEHAVIORAL HEALTH
CT
01
—
D339123 141 E MAIN
BEACON HEALTH STRATEGIES
CT
Enumeration date
12/10/2008
Last updated
09/02/2016
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