Marlene Harriet Heald in Pomfret Center - Clinical
Marlene Harriet Heald - NPI 1124196753
Marlene Harriet Heald is a Clinical in Pomfret Center, Connecticut. Marlene Harriet Heald practices all healthcare services and medical treatments related to Clinical. The NPI Number for Marlene Harriet Heald is 1124196753. The last update date is 2007-07-09.
Marlene Harriet Heald's current location address is 493 Taft Pond Rd, Pomfret Center, Connecticut. You can contact this provider via phone number 8609741047 and fax number 8609741047. The mailing address for Marlene Harriet Heald is 493 Taft Pond Rd, Pomfret Center, Connecticut. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Marlene Harriet Heald |
|---|---|
| Address | 493 Taft Pond Rd, Pomfret Center, Connecticut |
| Phone Number | 8609741047 |
| Fax Number | 8609741047 |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1124196753 |
|---|---|
| Provider Enumeration Date | 2006-12-01 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 493 Taft Pond Rd |
|---|---|
| City | Pomfret Center |
| State | Connecticut (CT) |
| Post Code | 62591315 |
| Phone Number | 8609741047 |
| Fax Number | 8609741047 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 2243 |
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Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 5941591 | CT | AETNA | |
| 140002243CT01 | CT | ANTHEM | |
| 304694 | CT | HEALTHNET |
Post Comment/ Review Below
What is the unique identification code assigned to Marlene Harriet Heald by the Centers for Medicare & Medicaid Services?
The Marlene Harriet Heald has been issued the NPI (National Provider Identifier) 1124196753. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Marlene Harriet Heald's facilities are geographically located?
The facilities of Marlene Harriet Heald are physically situated at the following location: 493 Taft Pond Rd, Pomfret Center, CT, 62591315.
What is Marlene Harriet Heald's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Marlene Harriet Heald is Clinical, and the taxonomy classification code that categorizes this area of expertise is 1041C0700X.
On what date did the Marlene Harriet Heald receive the assignment of its 1124196753 from the Centers for Medicare & Medicaid Services?
The Marlene Harriet Heald was issued its 1124196753 by the Centers for Medicare & Medicaid Services on 2006-12-01.
When was the information regarding Marlene Harriet Heald most recently updated?
The details pertaining to the Marlene Harriet Heald, including its address, specialty, and other relevant information, were last refreshed on 2007-07-09.