Individual
MATTHEW PAUL STANIEWICZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
121 WAKELEE AVENUE, ACS, ANSONIA, CT 06401-1198
(203) 503-3650
(203) 503-3659
Mailing address
400 COLUMBUS AVENUE, CREDENTIALING SPECIALIST, NEW HAVEN, CT 06519-1233
(203) 503-3000
(203) 503-3183
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
4954
CT
Other
Enumeration date
10/11/2019
Last updated
10/11/2019
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