1578716783 NPI number — MRS. HELEN B. MCCUE LCSW

Table of content: MRS. HELEN B. MCCUE LCSW (NPI 1578716783)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1578716783 NPI number — MRS. HELEN B. MCCUE LCSW

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
MCCUE
Provider First Name:
HELEN
Provider Middle Name:
B.
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:
BLAIR
Provider Other First Name:
HELEN
Provider Other Middle Name:
MARIE
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:
5

NPI Number Information

NPI Number:
1578716783
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
10/31/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
116 MICHAEL ROAD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
STAMFORD
Provider Business Mailing Address State Name:
CT
Provider Business Mailing Address Postal Code:
06903
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
203-322-5350
Provider Business Mailing Address Fax Number:
203-322-5350

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
9 MOTT AVENUE
Provider Second Line Business Practice Location Address:
FAMILY AND CHILDREN'S AGENCY
Provider Business Practice Location Address City Name:
NORWALK
Provider Business Practice Location Address State Name:
CT
Provider Business Practice Location Address Postal Code:
06850
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
203-855-8765
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
10/31/2008

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 , with the licence number:  004544 , 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)