Provider Demographics
NPI:1528167160
Name:CUYLER, CARMEL F (LCSW)
Entity type:Individual
Prefix:
First Name:CARMEL
Middle Name:F
Last Name:CUYLER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:CARMEL
Other - Middle Name:L
Other - Last Name:FRANCISCOVICH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:PO BOX 310
Mailing Address - Street 2:
Mailing Address - City:MANSFIELD CENTER
Mailing Address - State:CT
Mailing Address - Zip Code:06250-0310
Mailing Address - Country:US
Mailing Address - Phone:860-429-2928
Mailing Address - Fax:860-429-2949
Practice Address - Street 1:1066 STORRS RD
Practice Address - Street 2:
Practice Address - City:STORRS MANSFIELD
Practice Address - State:CT
Practice Address - Zip Code:06268-2648
Practice Address - Country:US
Practice Address - Phone:860-429-2928
Practice Address - Fax:860-429-2949
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-21
Last Update Date:2012-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0043341041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT140004334CT01OtherANTHEM
299873OtherMHN
P2742456OtherOXFORD
C007612OtherTRICARE
JP535130OtherCT CARE
0007762196OtherAETNA
137052OtherVALUE OPTIONS
108OtherUBH