Dean Avery, MSW
Individual provider Active NPI Social Worker · New London, CT
NPI 1104018670 · NPPES record last updated Nov 10, 2008
Key facts
- NPI
- 1104018670
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- Practice address
- 7 Vauxhall St
New London, CT 06320-5711 - Phone
- (860) 442-2797
- NPI assigned
- Aug 17, 2007
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | Yes |
Addresses
Primary practice location
7 Vauxhall St
New London, CT 06320-5711
Mailing address
5 School St
Mystic, CT 06355-2717
Phone (860) 235-4534
Other providers in New London, CT
- Nicolas J Astras
- At Home Wellness Management, LLC
- Donna Lynn Atkinson
- Donna B Augusto
- Susan H. Austen
- Bassam Awwa
- Muhammad Ayoub
- Gregory S Azia
- Krista Bachl
- Stephanie Bacon
All providers in New London, CT · Social Worker in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 10, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.