Provider Demographics
NPI:1386800530
Name:WEINSTEIN, BELLA MARISA (LCSW)
Entity type:Individual
Prefix:MS
First Name:BELLA
Middle Name:MARISA
Last Name:WEINSTEIN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
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Mailing Address - Street 1:1 EAST LN
Mailing Address - Street 2:APT J
Mailing Address - City:BLOOMFIELD
Mailing Address - State:CT
Mailing Address - Zip Code:06002-3451
Mailing Address - Country:US
Mailing Address - Phone:860-904-5724
Mailing Address - Fax:860-231-1960
Practice Address - Street 1:674 PROSPECT AVE
Practice Address - Street 2:APT J
Practice Address - City:HARTFORD
Practice Address - State:CT
Practice Address - Zip Code:06105-4288
Practice Address - Country:US
Practice Address - Phone:860-904-5724
Practice Address - Fax:860-231-1960
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-06
Last Update Date:2008-08-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CT006535104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker