IndividualActive
Alan Lake, LCSW
NPI 1184735532 · Clinical Social Worker · Bloomfield, CT
Provider details
- NPI number
- 1184735532
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LCSW
- Sex
- Male
- Sole proprietor
- Yes
- License
- 000875 (CT)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Practice location
9 Old Orchard Rd
Bloomfield, CT 06002-2259
Phone: (860) 402-4402
Approximate (ZIP-level) locationGet directions
Mailing address
9 Old Orchard Rd
Bloomfield, CT 06002-2259
Registry dates
- Enumerated
- 2006-08-31
- Last updated
- 2014-01-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.