Eugene Thomas Fergione, LCSW
Individual provider Active NPI Social Worker · Marlborough, CT
NPI 1497946487 · NPPES record last updated Aug 6, 2007
Key facts
- NPI
- 1497946487
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- 000316 (CT)
- Practice address
- 20 Gina LN
Marlborough, CT 06447-1255 - Phone
- (860) 295-8768
- NPI assigned
- Aug 6, 2007
- Sex
- Male
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 000316 | CT | Yes |
Addresses
Primary practice location
20 Gina LN
Marlborough, CT 06447-1255
Mailing address
20 Gina LN
Marlborough, CT 06447-1255
Phone (860) 295-8768
Other providers in Marlborough, CT
- Comprehensive Foot Care, LLC
- Elysa Maria Doherty-Fisher
- Douglas K Doran
- Thao Doran
- Pamela Elizabeth Falco Haydon
- Amanda Francini
- Kullen Gallagher
- April Verdeal Garner
- Jann Gingold
- James A. Govoni
All providers in Marlborough, 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 Aug 6, 2007. 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.