| Lauren Logozio, Lcsw Llc | |
|
109 Danbury Rd Ste D7 Ridgefield CT 06877-4142 | |
| (203) 694-0628 | |
| Not Available |
| Full Name | Lauren Logozio, Lcsw Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 109 Danbury Rd Ste D7, Ridgefield, Connecticut |
| Authorized Official Name and Position | Lauren Logozio (MANAGING MEMBER) |
| Authorized Official Contact | 6313555422 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lauren Logozio, Lcsw Llc 11 Island Hill Ave Ridgefield CT 06877-4007 Ph: (631) 355-5422 | Lauren Logozio, Lcsw Llc 109 Danbury Rd Ste D7 Ridgefield CT 06877-4142 Ph: (203) 694-0628 |
| NPI Number | 1508571779 |
|---|---|
| Provider Enumeration Date | 01/20/2023 |
| Last Update Date | 01/20/2023 |
| Certification Date | 01/20/2023 |
| Medicare PECOS PAC ID | 7113392143 |
|---|---|
| Medicare Enrollment ID | O20230405001236 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508571779 | NPI | - | NPPES |
| 1285980458 | Other | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Lauren M Logozio |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285980458 PECOS PAC ID: 4082975230 Enrollment ID: I20180302001319 |
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