OrganizationActive
Andrew Wagenseller Lcsw, LLC
NPI 1942078787 · Community/Behavioral Health Agency · Southport, CT
Provider details
- NPI number
- 1942078787
- Entity type
- Organization
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Andrew Wagenseller, Manager(203) 434-6907
Specialties & taxonomies
Agencies
Practice location
2507 Post Rd Fl 3
Southport, CT 06890-1259
Phone: (203) 307-5330
Approximate (ZIP-level) locationGet directions
Mailing address
78 Centerbrook Rd
Fairfield, CT 06824-3404
Registry dates
- Enumerated
- 2023-12-12
- Last updated
- 2023-12-12
- Certified
- 2023-12-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.