Amy K Arruda

Individual provider Active NPI Clinical Social Worker · Middlebury, CT

NPI 1154893337 · NPPES record last updated Dec 28, 2018

Key facts

NPI
1154893337
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
10410 (CT)
Practice address
2030 Straits Tpke
Middlebury, CT 06762-1831
Phone
(203) 725-3345
NPI assigned
Dec 28, 2018
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
10410CTMDMental Health Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent and Children Mental Health Clinic/Center 261QM0855X 10410 CT
Mental Health Counselor 101YM0800X 10410 CT
Clinical Social Worker 1041C0700X 10410 CT Yes

Addresses

Primary practice location

2030 Straits Tpke
Middlebury, CT 06762-1831

Mailing address

168 Clapboard Rd
Bridgewater, CT 06752-1337

Other providers in Middlebury, CT

All providers in Middlebury, CT · Clinical Social Worker in Connecticut

Sources for this page

Verify at the official NPI Registry.