Mishriky, Kimberly Patterson

Mishriky, Kimberly Patterson is an individual health care provider with primary practice located at 15 Mercer Ave School Based Health Center, East Hartford CT 06118-1517. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Mishriky, Kimberly Patterson can be contacted via phone (860) 622-5513.

Contact Information

Primary practice address
15 Mercer Ave School Based Health Center East Hartford CT 06118-1517
Phone: (860) 622-5513
Fax:
Website:
Map and Directions

Health care specialties

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

Profile Details

NPI number 1396994455
LBN Legal business name Mishriky, Kimberly Patterson
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 15th, 2008
Last updated Sep 18th, 2008 - about 17 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 1396994455 NPPES
Connecticut Other 006850 STATE LICENCE

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