Individual
MR. THOMAS RICHARD HENNESSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Credential
LMSW
Contact information
Practice address
230 MAIN STREET EXT, MIDDLETOWN, CT 06457-4470
(860) 785-6887
Mailing address
230 MAIN STREET EXT, MIDDLETOWN, CT 06457-4470
(860) 785-6887
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
11215
CT
Other
Enumeration date
06/27/2025
Last updated
09/09/2025
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