Provider Demographics
NPI:1487891750
Name:VANHANDEL, DAVID (LCSW)
Entity type:Individual
Prefix:MR
First Name:DAVID
Middle Name:
Last Name:VANHANDEL
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1080 MAIN ST S
Mailing Address - Street 2:SUITE 8
Mailing Address - City:WOODBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06798-3810
Mailing Address - Country:US
Mailing Address - Phone:203-263-2537
Mailing Address - Fax:203-263-2537
Practice Address - Street 1:1080 MAIN ST S
Practice Address - Street 2:SUITE 8
Practice Address - City:WOODBURY
Practice Address - State:CT
Practice Address - Zip Code:06798-3810
Practice Address - Country:US
Practice Address - Phone:203-263-2537
Practice Address - Fax:203-263-2537
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-08
Last Update Date:2009-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0033901041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical