Ethan Sansolo, LCSW - Clinical Social Worker in Cheshire, CT

Ethan Sansolo, LCSW is a Social Worker - Clinical based in Cheshire, Connecticut. Ethan Sansolo is licensed to practice in Connecticut (license number 58.008167) and his current practice location is 407 Highland Ave, Building A, Suite 6, Cheshire, Connecticut. He can be reached at his office (for appointments etc.) via phone at (860) 335-7615.

NPI number for Ethan Sansolo is 1053656777 and his current mailing address is 45 Jimmy Ln, Meriden, Connecticut. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1053656777.

Contact Information

Ethan Sansolo, LCSW
407 Highland Ave, Building A, Suite 6,
Cheshire, CT 06410
(860) 335-7615
Not Available



Healthcare Provider's Profile

Full NameEthan Sansolo
GenderMale
SpecialitySocial Worker - Clinical
Location407 Highland Ave, Building A, Cheshire, Connecticut
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1053656777
  • Provider Enumeration Date: 12/06/2012
  • Last Update Date: 12/06/2012

Medical Identifiers

Medical identifiers for Ethan Sansolo such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053656777NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical 58.008167 (Connecticut)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ethan Sansolo is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Ethan Sansolo, LCSW
45 Jimmy Ln,
Meriden, CT 06450-7200

Ph: (203) 440-2351
Ethan Sansolo, LCSW
407 Highland Ave, Building A, Suite 6,
Cheshire, CT 06410

Ph: (860) 335-7615

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› Verified 5 days ago


Social Worker in Cheshire, CT

Delmaliz Montes De Oca,
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 787 N Brooksvale Rd, Cheshire, CT 06410
Phone: 203-802-5949    
Benjamin Chaback, LCSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 545 Highland Ave, Cheshire, CT 06410
Phone: 203-250-0305    
Ms. De'andrea L.r. Dillard, MSM, LCSW
Clinical Social Worker
Medicare: Medicare Enrolled
Practice Location: 1113 S Main St Ste F, Cheshire, CT 06410
Phone: 203-699-6318    
Raenette G Riddick,
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 416 Highland Ave Ste B, Cheshire, CT 06410
Phone: 203-599-1492    
Kayla Jose, LCSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 408 Highland Ave Ste A6, Cheshire, CT 06410
Phone: 203-525-4955    
Jennifer Lynne Kenworthy, LMSW
Clinical Social Worker
Medicare: Medicare Enrolled
Practice Location: 555 Highland Ave, Cheshire, CT 06410
Phone: 203-301-8234    

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