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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

PHETSAMON DILULLO

Deactivated

PHETSAMON DILULLO is a Clinical Social Worker healthcare provider located in WINDSOR, Connecticut. NPI 1982168688 is deactivated in the NPPES registry. Verify at CMS.

Clinical Social Worker · WINDSOR, CT

This NPI has been deactivated. The record was deactivated on February 11, 2019. Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated. Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.

Registration Details

NPI Number
1982168688
Provider Type
Individual
Gender
Female
NPI Issued
Jan 27, 2019 (0.041095890410959 yrs)
Last Updated
Apr 12, 2019
Deactivated
Feb 11, 2019
License
010163 (CT)

Practice Information

Address
32 MAPLE AVE
WINDSOR, CT, 060952922
Browse CT providers · Browse ZIP 06095
Phone
8609739171
Primary Specialty
Clinical Social Worker
1041C0700X

Other Clinical Social Worker Providers in WINDSOR, CT

Name Credential NPI
MR. HEATH HENRY HIGHTOWER MSW, LCSW, LICSW 1578552626
LAUREL STEWART MSW 1669407094
PATRICIA LANGEVIN JAMES LCSW 1164431698
MRS. JENNINE M. GIALOPSOS LCSW, LADC 1063500601
JOSEPH HOBBS LCSW 1134299464
JOHN ECKSTEIN LCSW 1467522797
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.