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Clinical Social Worker · Colchester, CT

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At a glance

11 Melanie Ln, Colchester, CT 06415-1851

NPPES record updated Mar 31, 2026. Public records can lag behind changes at a practice.

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Practice location

11 Melanie Ln
Colchester, CT 06415-1851
Professional details: NPI, taxonomy & registry record
NPI1861249096
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Registry details

Primary taxonomy
Clinical Social Worker
Taxonomy code
1041C0700X
Enumeration date
May 6, 2024
Record updated
Mar 31, 2026
More registry details
Provider type
Organization · Type 2

Reported taxonomies and licenses

Clinical Social Worker

1041C0700X · Primary

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

11 Melanie Ln
Colchester, CT 06415-1851
Phone
(860) 705-5803
Mailing address
11 MELANIE LN

COLCHESTER, CT 064151851
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

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