SANDRA ELIZABETH CARLO (NPI# 1619030665) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619030665 |
| Entity Type | Individual |
| Full Name | SANDRA ELIZABETH CARLO |
| Credential | LMFT |
| Practice Address |
3380 Main St Suite 201 Stratford CT 06614-4860 |
| Practice Telephone | 2037679629 |
| Mailing Telephone | 2037679629 |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | 001010 | CT | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | UNITED HEALTHCARE ID | 62-73452 | 01 |
| CT | MHN PROVIDER ID | 304198 | 01 |
| CT | ANTHEM BCBS PROVIDER ID | 410001010CT06 | 01 |
| CT | AETNA PROVIDER ID | 7251549 | 01 |
| CT | OXFORD HEALTH PROVIDER ID | P3179321 | 01 |
| Street Address |
3380 MAIN ST SUITE 201 |
| City | STRATFORD |
| State | CT |
| Zip Code | 06614-4860 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841336914 | Bruce Roy Klein | Social Worker | 3380 Main St, Stratford, CT 06614 | 2007-01-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588139604 | David A Crosby | Physician Assistant | 125 Pumpkin Ground Road, Stratford, CT 06614 | 2018-10-04 |
| 1710489232 | Karen Marie Laconte | Naturopath | 720 Hilltop Dr, Stratford, CT 06614 | 2018-02-28 |
| 1972024693 | Amanda Wilson | Social Worker | 60 Edmund Street, Stratford, CT 06614 | 2017-07-03 |
| 1558801423 | Kristine Lynn Conlan | Physical Therapist | 55 Pasadena Ave., Stratford, CT 06614 | 2017-02-27 |
| 1811440258 | Seokwon Kwon | Dentist | 320 Boston Ave, Stratford, CT 06614 | 2016-08-02 |
| 1093176141 | Kathleen G Domek | Technician/Technologist | 150 Barnum Avenue Cut Off, Stratford, CT 06614 | 2016-03-17 |
| 1417328634 | Kelley Machado | Social Worker | 2127 Nichols Ave, Stratford, CT 06614 | 2015-10-14 |
| 1043629553 | Jennifer Woods-mesquita | Social Worker | 125 Greenlawn Ave, Stratford, CT 06614 | 2014-08-08 |
| 1437564010 | Jose R. Pacheco | Obstetrics & Gynecology | 120 Brightwood Ave, Stratford, CT 06614 | 2014-06-23 |
| 1740612829 | Stanley Brovender | General Practice | 773b Pontiac Lane, Stratford, CT 06614 | 2013-07-31 |
| Find all providers in zip 06614 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962009803 | Eric Matthew Rutter | Marriage & Family Therapist | 125 Brinsmayd Ave, Stratford, CT 06614-1328 | 2020-10-05 |
| 1417380981 | Debra L Tomaselli | Marriage & Family Therapist | 2296 Main Street, 2nd Floor, Stratford, CT 06615 | 2013-08-19 |
| 1477177269 | Robert K Freeman | Marriage & Family Therapist | 2595 Main St, Stratford, CT 06615-5855 | 2020-06-08 |
| 1205296092 | Paige Stephanie Morrisroe | Marriage & Family Therapist | 468 Birdseye St, Stratford, CT 06615-6976 | 2016-03-07 |
| 1205250586 | Debra L. Tomaselli, Lmft, LLC | Marriage & Family Therapist | 2296 Main Street, 2nd Floor, Stratford, CT 06615 | 2014-02-07 |
| 1629409172 | Kerry Frances, Lmft, LLC | Marriage & Family Therapist | 2296 Main St, Stratford, CT 06615-5974 | 2013-12-10 |
| 1275873390 | Michael J. Pisco | Marriage & Family Therapist | 2 Research Dr, Stratford, CT 06615-7126 | 2013-02-27 |
| 1336488576 | Linda J Schwoeri | Marriage & Family Therapist | 109 E Laurel Rd, 1st Floor, Stratford, NJ 08084-1324 | 2013-02-07 |
| 1730441429 | Amanda Jean Byrne | Marriage & Family Therapist | 468 Birdseye St, Stratford, CT 06615-6976 | 2012-06-09 |
| 1851695837 | Stratford Community Services | Marriage & Family Therapist | 468 Birdseye St, Stratford, CT 06615-6976 | 2011-01-05 |
| Find all providers in STRATFORD | ||||
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| 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.