Individual
CATHERINE HEFFERNAN FARRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
14 OCEAN AVE # 17043, WEST HAVEN, CT 06516-7071
(475) 209-6681
Mailing address
PO BOX 17043, WEST HAVEN, CT 06516
(475) 209-6681
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
004888
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004212148
—
CT
01
—
CTGA000525
DMHAS
CT
Enumeration date
12/07/2009
Last updated
09/23/2020
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