Individual
JACQUELINE OSSEN BERKOWITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
200 RETREAT AVENUE, HARTFORD HOSPITAL PSYCHIATRY DEPT, HARTFORD, CT 06106-3309
(860) 545-7239
(860) 545-7940
Mailing address
200 RETREAT AVENUE, HARTFORD HOSPITAL PSYCHIATRY DEPT, HARTFORD, CT 06106-3309
(860) 545-7239
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
004733
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004083672
—
CT
Enumeration date
08/31/2006
Last updated
05/05/2022
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