1578694337 NPI number — BARBARA ANN FREULER CHIMILESKI LCSW

Table of content: BARBARA ANN FREULER CHIMILESKI LCSW (NPI 1578694337)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1578694337 NPI number — BARBARA ANN FREULER CHIMILESKI LCSW

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
FREULER CHIMILESKI
Provider First Name:
BARBARA
Provider Middle Name:
ANN
Provider Name Prefix Text:
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:
FREULER
Provider Other First Name:
BARBARA
Provider Other Middle Name:
A
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
LCSW
Provider Other Last Name Type Code:
2

NPI Number Information

NPI Number:
1578694337
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
01/30/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
22 WALNUT TREE HILL RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SANDY HOOK
Provider Business Mailing Address State Name:
CT
Provider Business Mailing Address Postal Code:
06482
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
203-837-0655
Provider Business Mailing Address Fax Number:
860-350-2893

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
18 ELM ST
Provider Second Line Business Practice Location Address:
NEW MILFORD HOSPITAL BEHAVIOR HEALTH
Provider Business Practice Location Address City Name:
NEW MILFORD
Provider Business Practice Location Address State Name:
CT
Provider Business Practice Location Address Postal Code:
06776
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
860-354-3762
Provider Business Practice Location Address Fax Number:
860-350-2893
Provider Enumeration Date:
03/07/2007

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:  003322 , 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)





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