Amaryllis Chaves
Individual provider Active NPI Clinical Social Worker · Dayville, CT
NPI 1295043933 · NPPES record last updated Feb 17, 2012
Key facts
- NPI
- 1295043933
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- Practice address
- 1007 N Main St
Dayville, CT 06241-2170 - Phone
- (860) 774-2020
- Fax
- (860) 774-2826
- NPI assigned
- Sep 15, 2010
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Clinical Social Worker | 1041C0700X | Yes |
Addresses
Primary practice location
1007 N Main St
Dayville, CT 06241-2170
Mailing address
1007 N Main St
P O Box 839
Dayville, CT 06241-2170
Phone (860) 774-2020
Other providers in Dayville, CT
- Christopher George Carnaroli
- David Marc Caron
- Emily Casey
- Shelby Champagne
- Celeste R. Chartier
- Amanda Cicchetti
- Kaylyn Clark
- Christopher John Colby
- Laura Corrigan
- Bryan Couture
All providers in Dayville, CT · Clinical 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 Feb 17, 2012. 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.