Farrell, Catherine Heffernan
Farrell, Catherine Heffernan is an sole proprietor health care provider with primary practice located at 14 Ocean Ave # 17043 , West Haven CT 06516-7071. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Farrell, Catherine Heffernan can be contacted via phone (475) 209-6681.Contact Information
Primary practice address
14 Ocean Ave # 17043
West Haven CT 06516-7071
Phone: (475) 209-6681
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | 004888 | Connecticut |
Profile Details
| NPI number | 1912235722 |
|---|---|
| LBN Legal business name | Farrell, Catherine Heffernan |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 7th, 2009 |
| Last updated | Sep 23rd, 2020 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1912235722 | NPPES |
| Connecticut | Other | CTGA000525 | DMHAS |
| Connecticut | MEDICAID | 004212148 | DMHAS |
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