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HARVEST HEALTHCARE LLC NPI 1477712917


NPI Information

NPI: 1477712917
Provider Name: HARVEST HEALTHCARE LLC
Classification: Social Worker - 1041C0700X
Entity Type: Organization

Specialization: Clinical

Address:
21 WATERVILLE RD
AVON, CT
ZIP 06001
Phone: (860) 284-0182
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HARVEST HEALTHCARE LLC is a clinical social worker in Avon, CT. The provider is 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, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. HARVEST HEALTHCARE LLC NPI is 1477712917. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

21 WATERVILLE RD
AVON, CT
ZIP 06001-097
Phone: (860) 284-0182
Fax: (860) 284-6804

The provider's authorized official is Meghan Foley .
The authorized official title is Owner and has the following contact phone number (860) 284-1052.

The enumeration date for this NPI number is 6/9/2008 and was last updated on 2/8/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12084P0800XPsychiatry & NeurologyPsychiatryNo
2363A00000XPhysician AssistantNo
3363L00000XNurse PractitionerNo
41041C0700XSocial WorkerClinicalYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1D100000011MEDICARE PINCONNECTICUT

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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