Provider Demographics
NPI:1992109300
Name:UTZ, CLAIRE M (LMFT)
Entity type:Individual
Prefix:MS
First Name:CLAIRE
Middle Name:M
Last Name:UTZ
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:CLAIRE
Other - Middle Name:M
Other - Last Name:ZIELINSKI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LMFT MA
Mailing Address - Street 1:24 HIGH STREET
Mailing Address - Street 2:
Mailing Address - City:WESTPORT
Mailing Address - State:CT
Mailing Address - Zip Code:06880
Mailing Address - Country:US
Mailing Address - Phone:203-984-5049
Mailing Address - Fax:
Practice Address - Street 1:24 HIGH STREET
Practice Address - Street 2:
Practice Address - City:WESTPORT
Practice Address - State:CT
Practice Address - Zip Code:06880
Practice Address - Country:US
Practice Address - Phone:203-984-5049
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-10-14
Last Update Date:2024-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT001682106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist