BLANCHE GOODWIN


Address: 10 Lambert Cmn, Wilton, CT 06897-4535
Phone: 2038340355

BLANCHE GOODWIN (NPI# 1518099944) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1518099944
Entity Type Individual
Full Name BLANCHE GOODWIN
Other Name MS. BLANCHE GOODWIN
Credential L.C.S.W.
Practice Address 10 Lambert Cmn
Wilton
CT 06897-4535
Mailing Address 10lambertcommon
Wilton
CT 06897
Practice Telephone 2038340355
Practice Fax Number 2038340355
Mailing Telephone 2038340355
Mailing Fax Number 2038340355
Enumeration Date 2007-03-12
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
001641 CT Behavioral Health & Social Service Providers

Office Location

Street Address 10 LAMBERT CMN
City WILTON
State CT
Zip Code 06897-4535

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Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

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1538522628 Karen Jacques Counselor 284 Main St, Suite 390, Wilton, ME 04294-3044 2016-04-05
1124372909 Keith A Plouffe Counselor 284 Main St, Suite 390, Wilton, ME 04294-3044 2012-11-01
1558532523 Steve R Brod Counselor 280 Main St, Suite 390, Wilton, ME 04294 2008-03-18

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Competitor

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City WILTON
Zip Code 06897

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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