Provider Demographics
NPI:1053731158
Name:VARANELLI, HOLLY (LCSW)
Entity type:Individual
Prefix:
First Name:HOLLY
Middle Name:
Last Name:VARANELLI
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:368 HOGBACK ROAD
Mailing Address - Street 2:PO BOX 235
Mailing Address - City:RIVERTON
Mailing Address - State:CT
Mailing Address - Zip Code:06065-0235
Mailing Address - Country:US
Mailing Address - Phone:860-485-4386
Mailing Address - Fax:
Practice Address - Street 1:210 HOLABIRD AVE
Practice Address - Street 2:STE 336
Practice Address - City:WINSTED
Practice Address - State:CT
Practice Address - Zip Code:06098-1747
Practice Address - Country:US
Practice Address - Phone:860-485-4386
Practice Address - Fax:860-795-2008
Is Sole Proprietor?:Yes
Enumeration Date:2014-04-16
Last Update Date:2017-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0060251041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical