Provider Demographics
NPI:1336936202
Name:TRESCHITTA, NICOLE (LMSW)
Entity type:Individual
Prefix:MS
First Name:NICOLE
Middle Name:
Last Name:TRESCHITTA
Suffix:
Gender:
Credentials:LMSW
Other - Prefix:MRS
Other - First Name:NICOLE
Other - Middle Name:
Other - Last Name:NASON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LMSW
Mailing Address - Street 1:10 SUNSET DR
Mailing Address - Street 2:
Mailing Address - City:SHELTON
Mailing Address - State:CT
Mailing Address - Zip Code:06484-4327
Mailing Address - Country:US
Mailing Address - Phone:203-895-4886
Mailing Address - Fax:
Practice Address - Street 1:31 VILLAGE LN
Practice Address - Street 2:
Practice Address - City:WALLINGFORD
Practice Address - State:CT
Practice Address - Zip Code:06492-2426
Practice Address - Country:US
Practice Address - Phone:203-265-5507
Practice Address - Fax:203-265-5581
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-23
Last Update Date:2025-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT7524104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker