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CONNECTIC UT MENTAL HEALTH SERVICES NPI 1073565198


NPI Information

NPI: 1073565198
Provider Name: CONNECTIC UT MENTAL HEALTH SERVICES

Former Legal Business Name: GERIATRIC MENTAL HEALTH SERVICES

Classification: Social Worker - 1041C0700X
Entity Type: Organization

Specialization: Clinical

CLIA Number: 07D2219326

Address:
270 FARMINGTON AVE
BUILDING ONE
FARMINGTON, CT
ZIP 06032
Phone: (860) 677-5570
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CONNECTIC UT MENTAL HEALTH SERVICES is a clinical social worker in Farmington, 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. CONNECTIC UT MENTAL HEALTH SERVICES NPI is 1073565198. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Geriatric Mental Health Services.

The provider's business location address is:

270 FARMINGTON AVE
BUILDING ONE
FARMINGTON, CT
ZIP 06032-909
Phone: (860) 677-5570

The provider's authorized official is Dana Kriscenski .
The authorized official title is Administrative Assistant and has the following contact phone number 18606775570.

The CLIA number assigned to this NPI record is 07D2219326 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/17/2006 and was last updated on 8/8/2008.


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
11041C0700XSocial WorkerClinical002211CONNECTICUTYes

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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