1083743488 NPI number — MS. JOAN D. CAHILL LCSW

Table of content: (NPI 1225060874)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1083743488 NPI number — MS. JOAN D. CAHILL LCSW

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
CAHILL
Provider First Name:
JOAN
Provider Middle Name:
D.
Provider Name Prefix Text:
MS.
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:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1083743488
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 401
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SOUTHINGTON
Provider Business Mailing Address State Name:
CT
Provider Business Mailing Address Postal Code:
06489-0401
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
860-628-3963
Provider Business Mailing Address Fax Number:
860-628-3966

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
51 N MAIN ST
Provider Second Line Business Practice Location Address:
STE. 2 D
Provider Business Practice Location Address City Name:
SOUTHINGTON
Provider Business Practice Location Address State Name:
CT
Provider Business Practice Location Address Postal Code:
06489-2537
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
860-628-3963
Provider Business Practice Location Address Fax Number:
860-628-3966
Provider Enumeration Date:
03/04/2007

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: 1041C0700X , with the licence number:  000271 , registered in the state of CT ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 42664 . This is a "PID #" identifier , issued by the state of ( CT ) . This identifiers is of the category "OTHER".
  • Identifier: 6257312 . This is a "UHC PID #" identifier , issued by the state of ( CT ) . This identifiers is of the category "OTHER".
  • Identifier: P398863 . This is a "PID OXFORD #" identifier , issued by the state of ( CT ) . This identifiers is of the category "OTHER".
  • Identifier: 2212025 . This is a "AETNA EAP PID #" identifier , issued by the state of ( CT ) . This identifiers is of the category "OTHER".
  • Identifier: 4264841 . This is a "PID MAGELLAN #" identifier , issued by the state of ( CT ) . This identifiers is of the category "OTHER".
  • Identifier: 6257312 . This is a "UBH PID #" identifier , issued by the state of ( CT ) . This identifiers is of the category "OTHER".
  • Identifier: 0004264841 . This is a "AETNA PID #" identifier , issued by the state of ( CT ) . This identifiers is of the category "OTHER".
  • Identifier: 192907 . This is a "COMPSYCHE PID #" identifier , issued by the state of ( CT ) . This identifiers is of the category "OTHER".
  • Identifier: 073423 . This is a "VALUE OPTIONS PID #" identifier , issued by the state of ( CT ) . This identifiers is of the category "OTHER".
  • Identifier: 00387 . This is a "EAP PID #" identifier , issued by the state of ( CT ) . This identifiers is of the category "OTHER".
  • Identifier: 140000271CT02 . This is a "PID #" identifier , issued by the state of ( CT ) . This identifiers is of the category "OTHER".
  • Identifier: 2212025 . This is a "AETNA" identifier , issued by the state of ( CT ) . This identifiers is of the category "OTHER".
  • Identifier: 170616 . This is a "MHN PID #" identifier . This identifiers is of the category "OTHER".
  • Identifier: 426484 . This is a "AETNA USHC" identifier , issued by the state of ( CT ) . This identifiers is of the category "OTHER".
  • Identifier: 919201 . This is a "PACIFIC CARE PID #" identifier , issued by the state of ( CT ) . This identifiers is of the category "OTHER".




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