Edda Mcmanus Lcsw Llc

LBN: Edda Mcmanus Lcsw Llc
Edda Mcmanus Lcsw Llc is an health care organization with primary practice located at 567 Vauxhall Street Ext Suite 314, Waterford CT 06385-4330. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty. Edda Mcmanus Lcsw Llc can be contacted via phone (860) 440-3838, or through Mcmanus, Edda via phone (860) 440-3838.

Contact Information

Primary practice address
567 Vauxhall Street Ext Suite 314 Waterford CT 06385-4330
Phone: (860) 440-3838
Fax: (860) 381-5099
Website:
Map and Directions
Authorized official contact:
Name: Mcmanus, Edda Licensed Clinical Social Worker (LCSW)
Phone: (860) 440-3838

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 007169 Connecticut

Profile Details

NPI number 1619303047
LBN Legal business name Edda Mcmanus Lcsw Llc
DBA Doing business as
Authorized official Mcmanus, Edda Licensed Clinical Social Worker (LCSW)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 17th, 2013
Last updated Sep 17th, 2013 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619303047 NPPES
Connecticut MEDICAID CBHP004254

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