Ellen Buffa, LMSW
Social Worker, Clinical in Dayville, CT. Individual provider (NPI-1).
NPI number1164069571
StatusActive
Last updated in NPPESNov 8, 2021
Details
- NPI
- 1164069571
- Entity type
- Individual (NPI-1)
- Name
- Ellen Buffa
- Credential
- LMSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 4, 2019
- Certification date
- Nov 8, 2021
- Last updated
- Nov 8, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 5037 | CT | Yes |
Practice location
1007 N Main StDayville, CT 06241-2170
Phone 860-774-2020
Mailing address
1007 N Main StDayville, CT 06241-2170
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