1588628242 NPI number — MRS. KAREN SCHLANGER HOWARD MSW LCSW

Table of content: MR. ALAN M WEAVER D.O. (NPI 1407844962)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1588628242 NPI number — MRS. KAREN SCHLANGER HOWARD MSW LCSW

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
HOWARD
Provider First Name:
KAREN
Provider Middle Name:
SCHLANGER
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
MSW 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:
1588628242
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 244
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
EAST WINDSOR
Provider Business Mailing Address State Name:
CT
Provider Business Mailing Address Postal Code:
06088
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
860-623-8723
Provider Business Mailing Address Fax Number:
860-745-7511

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2 PASCO DRIVE
Provider Second Line Business Practice Location Address:
A1
Provider Business Practice Location Address City Name:
EAST WINDSOR
Provider Business Practice Location Address State Name:
CT
Provider Business Practice Location Address Postal Code:
06088
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
860-623-8723
Provider Business Practice Location Address Fax Number:
860-745-7511
Provider Enumeration Date:
04/12/2006

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: 1041C0700X , with the licence number:  001243 , 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: 195308 . This is a "HEALTH NET MHN HMC" identifier . This identifiers is of the category "OTHER".
  • Identifier: 5674214 . This is a "AETNA INSURANCE CO" identifier . This identifiers is of the category "OTHER".
  • Identifier: 140001243CT01 . This is a "ANTHEM BCBS CT" identifier . This identifiers is of the category "OTHER".
  • Identifier: 118008 . This is a "VALUE OPTIONS" identifier . This identifiers is of the category "OTHER".




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