Sherida Antonacci, LCSW
Individual provider Active NPI Clinical Social Worker · Norwich, CT
NPI 1669670451 · NPPES record last updated Mar 24, 2010
Key facts
- NPI
- 1669670451
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- Practice address
- 331 Main St
Norwich, CT 06360-5836 - Phone
- (860) 889-8346
- Fax
- (860) 889-2658
- NPI assigned
- Jul 3, 2007
- 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)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7077 | CT | MD | Professional Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Yes |
Addresses
Primary practice location
331 Main St
Norwich, CT 06360-5836
Mailing address
199 S Main St
Marlborough, CT 06447-1504
Phone (860) 295-9306
Other providers in Norwich, CT
- Nancy Anderson
- Sophia Elizabeth Andrew
- Katherine Andrias
- Larisa Anisimov
- Jackilyn Annelli
- Maria Aponte
- James W Aree
- Amanda Armstrong
- Lexus Arvanis
- Elizabeth A. Asis
All providers in Norwich, 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 Mar 24, 2010. 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.