| Provider / Organization | NPI | Date Certified |
|---|---|---|
| JEFFREY GAGLIARDI | 1144876723 | 2021-07-12 |
Jeffrey Gagliardi is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1144876723. Registration indicates Jeffrey Gagliardi is a provider of access to mental health/behavioral health providers services with a specialization in Behavioral Health & Social Service Providers, Social Worker (Behavioral Health & Social Service Providers, Social Worker) (Social Worker: Clinical, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Social Worker Clinical, Behavioral Health & Social Service Providers) (Social Worker, ) Access to Mental Health/Behavioral Health Providers (Behavioral Health & Social Service Providers, Social Worker) (Behavioral Health & Social Service Providers, Social Worker) (Social Worker: Clinical, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Social Worker Clinical, Behavioral Health & Social Service Providers) (Social Worker, )
| Entity Type | Individual |
| Provider Name | Mr. Jeffrey Gagliardi LCSW |
| Practice Office Address | 5 DOVER CT CHESHIRE, CT US |
| Practice Office Telephone | 2033798400 |
| Mailing Address | 5 DOVER CT CHESHIRE, CT 064102849 US |
| Business Telephone | 2033798400 |
| Address | City / State | Phone / Fax |
|---|---|---|
| 155 W 83rd St Apt 114 | New York, NY 100245080 | 2033798400 |
| Code | Practice | License No State |
|---|---|---|
| 1041C0700X | Access to Mental Health/Behavioral Health Providers Behavioral Health & Social Service Providers Social Worker Behavioral Health & Social Service Providers Social Worker Social Worker: Clinical Behavioral Health/Substance Abuse/Psychiatry Social Worker Clinical Behavioral Health & Social Service Providers Social Worker | 091416
NY |
| 1041C0700X PRIMARY | Access to Mental Health/Behavioral Health Providers Behavioral Health & Social Service Providers Social Worker Behavioral Health & Social Service Providers Social Worker Social Worker: Clinical Behavioral Health/Substance Abuse/Psychiatry Social Worker Clinical Behavioral Health & Social Service Providers Social Worker | 10694
CT |