Provider Demographics
NPI:1053402032
Name:LETTIERO, ROSEMARY ABBADESSA (MSW)
Entity type:Individual
Prefix:MRS
First Name:ROSEMARY
Middle Name:ABBADESSA
Last Name:LETTIERO
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:70 SERAFIN COURT
Mailing Address - Street 2:
Mailing Address - City:HAMDEN
Mailing Address - State:CT
Mailing Address - Zip Code:06518-2000
Mailing Address - Country:US
Mailing Address - Phone:203-287-9947
Mailing Address - Fax:
Practice Address - Street 1:VA CONNECTICUT HEALTH CARE SYSTEM
Practice Address - Street 2:950 CAMPBELL AVENUE SOCIAL WORK OFFICE
Practice Address - City:WEST HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06516
Practice Address - Country:US
Practice Address - Phone:203-932-5711
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0032971041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical