Provider Demographics
NPI:1063577344
Name:SAUL, FLORENCE (LCSW)
Entity type:Individual
Prefix:MS
First Name:FLORENCE
Middle Name:
Last Name:SAUL
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 1:20 GERMANTOWN RD
Mailing Address - Street 2:
Mailing Address - City:DANBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06810
Mailing Address - Country:US
Mailing Address - Phone:203-748-1644
Mailing Address - Fax:203-790-0010
Practice Address - Street 1:20 GERMANTOWN RD
Practice Address - Street 2:
Practice Address - City:DANBURY
Practice Address - State:CT
Practice Address - Zip Code:06810
Practice Address - Country:US
Practice Address - Phone:203-748-1644
Practice Address - Fax:203-790-0010
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-27
Last Update Date:2009-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYPR0146661041C0700X
NYPR014666-11041C0700X
CT0039571041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY181167OtherHEALTHNET
NY140014666NY01OtherANTHEM
NYNY31208011Medicare UPIN
CT800001602Medicare UPIN
NY140014666NY01OtherANTHEM