Provider Demographics
NPI:1871007328
Name:ADVOCATE, STEPHEN (MSW, LCSW, MA)
Entity type:Individual
Prefix:MR
First Name:STEPHEN
Middle Name:
Last Name:ADVOCATE
Suffix:
Gender:M
Credentials:MSW, LCSW, MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:281 WILLOW ST
Mailing Address - Street 2:
Mailing Address - City:NEW HAVEN
Mailing Address - State:CT
Mailing Address - Zip Code:06511-2427
Mailing Address - Country:US
Mailing Address - Phone:203-675-6615
Mailing Address - Fax:
Practice Address - Street 1:281 WILLOW ST
Practice Address - Street 2:
Practice Address - City:NEW HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06511-2427
Practice Address - Country:US
Practice Address - Phone:203-675-6615
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-11-20
Last Update Date:2024-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0015011041C0700X, 101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical