Individual
ANA SELMA BERRIOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
555 FRANKLIN AVE FL 1, HARTFORD, CT 06114-3019
(860) 293-0828
(860) 293-0828
Mailing address
555 FRANKLIN AVE FL 1, HARTFORD, CT 06114-3019
(860) 293-0828
(860) 293-0828
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
003399
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00140003399CT04
ANTHEM BLUE CROSS PROVIDE
CT
01
—
004198265
CTBHP PROVIDER #
CT
Enumeration date
09/03/2006
Last updated
07/08/2007
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