Mcguinness, Mark

Mcguinness, Mark is an individual health care provider with primary practice located at 112 Mansfield Ave , Willimantic CT 06226-2045. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Mcguinness, Mark can be contacted via phone (860) 456-9116.

Contact Information

Primary practice address
112 Mansfield Ave Willimantic CT 06226-2045
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 003411 Connecticut

Profile Details

NPI number 1346342490
LBN Legal business name Mcguinness, Mark
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 1st, 2006
Last updated Aug 19th, 2022 - about 3 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1346342490 NPPES
Connecticut Other 140003411CT03 ANTHEM
Connecticut Other 302661 ANTHEM
Connecticut Other A3463246 ANTHEM
Connecticut Other 201522674 ANTHEM
Connecticut Other 201522674 ANTHEM

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