Individual
CAROLINE LOEWALD FARNHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
682 PROSPECT AVE, HARTFORD, CT 06105-4238
(860) 518-5352
Mailing address
682 PROSPECT AVE, HARTFORD, CT 06105-4238
(860) 518-5352
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
004848
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
140004848CT04
ANTHEM
CT
01
—
140004848CT05
ANTHEM ID
CT
Enumeration date
10/02/2006
Last updated
07/08/2007
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