Provider Demographics
NPI:1679705743
Name:SEWELL, NICOLA K (LCSW)
Entity type:Individual
Prefix:MS
First Name:NICOLA
Middle Name:K
Last Name:SEWELL
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:184 LIBERTY ST
Mailing Address - Street 2:UNIT WS3
Mailing Address - City:NEW HAVEN
Mailing Address - State:CT
Mailing Address - Zip Code:06519-1625
Mailing Address - Country:US
Mailing Address - Phone:203-688-9787
Mailing Address - Fax:203-688-9860
Practice Address - Street 1:184 LIBERTY ST
Practice Address - Street 2:UNIT WS3
Practice Address - City:NEW HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06519-1625
Practice Address - Country:US
Practice Address - Phone:203-688-9787
Practice Address - Fax:203-688-9860
Is Sole Proprietor?:No
Enumeration Date:2009-08-21
Last Update Date:2015-04-16
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical