Alison M Coddington

Individual provider Active NPI School Social Worker · Collinsville, CT

NPI 1659856243 · NPPES record last updated Jun 15, 2021

Key facts

NPI
1659856243
Entity type
Individual (NPI type 1)
Primary specialty
School Social Worker 1041S0200X
License
011042 (CT)
Practice address
39 Dyer Ave
Collinsville, CT 06019-3015
Phone
(860) 693-7717
NPI assigned
Sep 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
114116MAMDSchool Social Worker
011042CTMDPhysical Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
School Social Worker 1041S0200X 114116 MA
School Social Worker 1041S0200X 011042 CT Yes

Addresses

Primary practice location

39 Dyer Ave
Collinsville, CT 06019-3015

Mailing address

39 Dyer Ave
Collinsville, CT 06019-3015
Phone (860) 693-7717

Other providers in Collinsville, CT

All providers in Collinsville, CT · School Social Worker in Connecticut

Sources for this page

Verify at the official NPI Registry.