Celeste E Mattingly in West Hartford - Clinical
Celeste E Mattingly - NPI 1588691109
Celeste E Mattingly is a Clinical in West Hartford, Connecticut. Celeste E Mattingly practices all healthcare services and medical treatments related to Clinical. The NPI Number for Celeste E Mattingly is 1588691109. The last update date is 2017-01-27.
Celeste E Mattingly's current location address is 10 Grassmere Ave, West Hartford, Connecticut. You can contact this provider via phone number 8605868700 and fax number 8602361909. The mailing address for Celeste E Mattingly is 10 Grassmere Ave, West Hartford, Connecticut. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Celeste E Mattingly |
|---|---|
| Address | 10 Grassmere Ave, West Hartford, Connecticut |
| Phone Number | 8605868700 |
| Fax Number | 8602361909 |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1588691109 |
|---|---|
| Provider Enumeration Date | 2006-06-27 |
| Last Updated Date | 2017-01-27 |
Provider Mailing Address Detail
| Address | 10 Grassmere Ave |
|---|---|
| City | West Hartford |
| State | Connecticut (CT) |
| Post Code | 61101215 |
| Phone Number | 8605868700 |
| Fax Number | 8602361909 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 4190 |
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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 |
|---|---|---|---|
| 211840 | CT | MENTAL HEALTH NETWORK/ HE | |
| ANTHEM BC/BS | CT | 140004190CT04 | |
| 62-30602 | CT | UNITED BEHAVIORAL HEALTH | |
| P2654477 | CT | OXFORD | |
| 11-3646032 | CT | TAX ID | |
| 2036651 | CT | CIGNA BEHAVIORAL HEALTH | |
| 161565 | CT | VALUE OPTIONS |
Post Comment/ Review Below
What is the unique provider identifier assigned to Celeste E Mattingly?
The Celeste E Mattingly has been issued the NPI (National Provider Identifier) 1588691109 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical location address where Celeste E Mattingly's facilities are situated?
The facilities of Celeste E Mattingly are physically located at the following address: 10 Grassmere Ave, West Hartford, CT, 61101215.
What is Celeste E Mattingly's area of expertise and its corresponding taxonomy classification?
The Celeste E Mattingly's field of specialization is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their areas of practice.
On what date did the Celeste E Mattingly receive the assignment of its 1588691109 from the Centers for Medicare & Medicaid Services?
The Celeste E Mattingly was issued its 1588691109 by the Centers for Medicare & Medicaid Services on 2006-06-27.
When was the information pertaining to Celeste E Mattingly most recently updated or revised?
The details related to Celeste E Mattingly, including its address, specialty, and other relevant information, were last updated or revised on 2017-01-27.