Adam Enoch
Social Worker, Clinical in Middletown, CT. Individual provider (NPI-1).
NPI number1164080420
StatusActive
Last updated in NPPESSep 12, 2023
Details
- NPI
- 1164080420
- Entity type
- Individual (NPI-1)
- Name
- Adam Enoch
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jun 3, 2019
- Certification date
- Sep 12, 2023
- Last updated
- Sep 12, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 13337 | CT | Yes |
| 104100000X | Social Worker | – | – |
Practice location
33 Burgundy Hill LnMiddletown, CT 06457-6331
Phone 203-868-9943
Mailing address
33 Burgundy Hill LnMiddletown, CT 06457-6331
Phone 203-868-9943
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