Kelly Bocuzzo, LCSW
Individual provider Active NPI Clinical Social Worker · Hartford, CT
NPI 1710187570 · NPPES record last updated Jul 20, 2007
Key facts
- NPI
- 1710187570
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 006148 (CT)
- Practice address
- 111 Charter Oak Ave
Hartford, CT 06106-1912 - Phone
- (860) 289-8131
- NPI assigned
- Jul 20, 2007
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 006148 | CT | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 006148 | CT | Yes |
Addresses
Primary practice location
111 Charter Oak Ave
Hartford, CT 06106-1912
Mailing address
111 Charter Oak Ave
Hartford, CT 06106-1912
Other providers in Hartford, CT
- Lawrence S Bluth
- Georgina Akua Boakyewah
- Amanda Boateng
- Ynes M Bobea
- Kelsey Nicole Boch
- Kaylee Bodnar
- Dana Leighann Boe
- Stephanie Bogazis
- Karlos Boghosian
- Frederick Bogin
All providers in Hartford, 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 Jul 20, 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.