Individual
WILLIAM NIEVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW,BA,LMSW
Contact information
Practice address
141 E MAIN ST, WATERBURY, CT 06702-2310
(203) 574-9000
(203) 574-9006
Mailing address
141 E MAIN ST, 4TH FLOOR ADMINISTRATION, WATERBURY, CT 06702-2310
(203) 574-9000
(203) 574-9006
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
000095
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
004040705
HP MEDICAID
CT
01
—
060669017
UNITED BEHAVIORAL HEALTH
CT
01
—
060669107
UBH-CONNECTICARE WELLMORE GRP/FACILITY
CT
01
—
13526788
CAQH
CT
01
—
D339210 -WATERBURY
VALUE OPTIONS
CT
01
—
NOT ELIGIBLE
MHN MANAGED HEALTH NETWORK
CT
01
—
PENDING
CIGNA BEHAVIORAL HEALTH
CT
Enumeration date
11/06/2006
Last updated
06/04/2021
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