Provider Demographics
NPI:1306111539
Name:DIONIZIO, NANCY RAMOS (MS,BA,LPC,NCC)
Entity type:Individual
Prefix:MRS
First Name:NANCY
Middle Name:RAMOS
Last Name:DIONIZIO
Suffix:
Gender:F
Credentials:MS,BA,LPC,NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:141 E MAIN ST
Mailing Address - Street 2:4TH FLOOR ADMINISTRATION
Mailing Address - City:WATERBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06702-2310
Mailing Address - Country:US
Mailing Address - Phone:203-574-9000
Mailing Address - Fax:203-574-9006
Practice Address - Street 1:141 E MAIN ST
Practice Address - Street 2:3RD FLOOR HOME BASED SERVICES
Practice Address - City:WATERBURY
Practice Address - State:CT
Practice Address - Zip Code:06702-2310
Practice Address - Country:US
Practice Address - Phone:203-575-0466
Practice Address - Fax:203-575-1817
Is Sole Proprietor?:No
Enumeration Date:2012-03-21
Last Update Date:2016-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT002348101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT060669107OtherANTHEM BCBS OF CT BEHAVIORAL HEALTH-WELLMORE, INC GRP/FACILITY
CT008049659Medicaid
CT4679990OtherCIGNA BEHAVIORAL HEALTH
CT240816OtherNATIONAL CERTIFIED COUNSELOR/NCC EXPIRES 11/30/2019
CT060669107OtherUNITED BEHAVIORAL HEALTH-OPTUM/WELLMORE, INC GRP/FACILITY
CT060669107OtherUBH-UNITED HEALTHCARE WELLMORE, INC GRP/FACILITY
CTD339209 WATERBURYOtherBEACON HEALTH STRATEGIES WELLMORE GRP/FACILITY
CT060669107OtherUBH-OXFORD HEALTH/LIBERTY WELLMORE, INC GRP/FACILITY
CT9959987OtherAETNA BEHAVIORAL HEALTH
CT539518OtherMANAGED HEALTH NETWORK-MHN
CT060669107OtherHEALTHY CT-AFFORADABLE HEALTHCARE WELLMORE, INC FACILITY/GROUP
CT13547449OtherCAQH
CT539517OtherTRICARE NORTH-MHN