1225115777 NPI number — MRS. APRIL JONES HEARD LCSW

Table of content: MRS. APRIL JONES HEARD LCSW (NPI 1225115777)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1225115777 NPI number — MRS. APRIL JONES HEARD LCSW

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
HEARD
Provider First Name:
APRIL
Provider Middle Name:
JONES
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
LCSW
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
JONES
Provider Other First Name:
APRIL
Provider Other Middle Name:
LASHUN
Provider Other Name Prefix Text:
MS.
Provider Other Name Suffix Text:
Provider Other Credential Text:
LCSW
Provider Other Last Name Type Code:
2

NPI Number Information

NPI Number:
1225115777
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
02/16/2017
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 4165
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
HARTFORD
Provider Business Mailing Address State Name:
CT
Provider Business Mailing Address Postal Code:
06147-4165
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
860-978-3944
Provider Business Mailing Address Fax Number:
860-461-7375

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
270 FARMINGTON AVE
Provider Second Line Business Practice Location Address:
309
Provider Business Practice Location Address City Name:
FARMINGTON
Provider Business Practice Location Address State Name:
CT
Provider Business Practice Location Address Postal Code:
06032-1909
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
860-978-3944
Provider Business Practice Location Address Fax Number:
860-461-7375
Provider Enumeration Date:
11/01/2006

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 104100000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)