Susan Nilsen, LCSW
Social Worker, Clinical in Ridgefield, CT. Individual provider (NPI-1).
NPI number1720162894
StatusActive
Last updated in NPPESJun 30, 2020
Details
- NPI
- 1720162894
- Entity type
- Individual (NPI-1)
- Name
- Susan Nilsen
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 25, 2006
- Certification date
- Jun 30, 2020
- Last updated
- Jun 30, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 006322 | CT | Yes |
Practice location
199 Ethan Allen HwyRidgefield, CT 06877-6212
Phone 203-423-2226
Mailing address
199 Ethan Allen HwyRidgefield, CT 06877-6212
Phone 203-423-2226
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