Individual
MR. CARLO CODATO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1200 HIGH RIDGE RD STE 208, STAMFORD, CT 06905-1202
(203) 554-8835
(203) 658-5182
Mailing address
44 PLEASANT ST APT 16, STAMFORD, CT 06901-2147
(203) 554-8835
(203) 658-5182
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
007141
CT
1041C0700X
Clinical Social Worker
Primary
007141
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008037844
—
CT
Enumeration date
03/26/2007
Last updated
10/22/2023
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