Provider Demographics
NPI:1255167805
Name:NUNEZ, LILLIAN MAY (LMSW)
Entity type:Individual
Prefix:
First Name:LILLIAN
Middle Name:MAY
Last Name:NUNEZ
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:LILLIAN
Other - Middle Name:MAY
Other - Last Name:ARTHER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:23 N 3RD ST # 1
Mailing Address - Street 2:
Mailing Address - City:MERIDEN
Mailing Address - State:CT
Mailing Address - Zip Code:06451-7630
Mailing Address - Country:US
Mailing Address - Phone:475-434-0152
Mailing Address - Fax:
Practice Address - Street 1:23 N 3RD ST # 1
Practice Address - Street 2:
Practice Address - City:MERIDEN
Practice Address - State:CT
Practice Address - Zip Code:06451-7630
Practice Address - Country:US
Practice Address - Phone:475-434-0152
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-10
Last Update Date:2024-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT10327104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker