Provider Demographics
NPI:1730274242
Name:MASSEY, ELIZABETH (LCSW)
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:
Last Name:MASSEY
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9 MOTT AVE
Mailing Address - Street 2:FAMILY & CHILDREN'S AGENCY - 4TH FLOOR
Mailing Address - City:NORWALK
Mailing Address - State:CT
Mailing Address - Zip Code:06850-3308
Mailing Address - Country:US
Mailing Address - Phone:203-855-8765
Mailing Address - Fax:203-838-3325
Practice Address - Street 1:165 FLAX HILL RD.
Practice Address - Street 2:FAMILY & CHILDREN'S AGENCY PROJECT REWARD
Practice Address - City:NORWALK
Practice Address - State:CT
Practice Address - Zip Code:06854-2839
Practice Address - Country:US
Practice Address - Phone:203-831-6301
Practice Address - Fax:203-831-6305
Is Sole Proprietor?:No
Enumeration Date:2006-10-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CT0060821041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical