Provider Demographics
NPI:1689988172
Name:WASZKIEWICZ, ELIZABETH T (LCSW)
Entity type:Individual
Prefix:MISS
First Name:ELIZABETH
Middle Name:T
Last Name:WASZKIEWICZ
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 1:96 LANGDON CT
Mailing Address - Street 2:
Mailing Address - City:BERLIN
Mailing Address - State:CT
Mailing Address - Zip Code:06037-1344
Mailing Address - Country:US
Mailing Address - Phone:860-978-7108
Mailing Address - Fax:
Practice Address - Street 1:96 LANGDON CT
Practice Address - Street 2:
Practice Address - City:BERLIN
Practice Address - State:CT
Practice Address - Zip Code:06037-1344
Practice Address - Country:US
Practice Address - Phone:860-978-7108
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-07-27
Last Update Date:2024-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT58.0080851041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical