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1083743488

NPI Code Detail

MEDICARE: MS. JOAN D. CAHILL LCSW

MEDICARE: MS. JOAN D. CAHILL LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	000271	CT

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	42664	OTHER	CT	PID #
2	6257312	OTHER	CT	UHC PID #
3	P398863	OTHER	CT	PID OXFORD #
4	2212025	OTHER	CT	AETNA EAP PID #
5	4264841	OTHER	CT	PID MAGELLAN #
6	6257312	OTHER	CT	UBH PID #
7	0004264841	OTHER	CT	AETNA PID #
8	192907	OTHER	CT	COMPSYCHE PID #
9	073423	OTHER	CT	VALUE OPTIONS PID #
10	00387	OTHER	CT	EAP PID #
11	140000271CT02	OTHER	CT	PID #
12	2212025	OTHER	CT	AETNA
13	170616	OTHER		MHN PID #
14	426484	OTHER	CT	AETNA USHC
15	919201	OTHER	CT	PACIFIC CARE PID #

General Provider Information

NPI Number	:	1083743488
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. JOAN D. CAHILL LCSW

Provider Business Mailing Address
First Line	:	PO BOX 401
Second Line	:
City	:	SOUTHINGTON
State	:	CT
Zip	:	06489-0401
Country	:	US
Telephone Number	:	860-628-3963
Fax Number	:	860-628-3966

Provider Business Practice Location Address
First Line	:	51 N MAIN ST
Second Line	:	STE. 2 D
City	:	SOUTHINGTON
State	:	CT
Zip	:	06489-2537
Country	:	US
Telephone Number	:	860-628-3963
Fax Number	:	860-628-3966

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/04/2007
Last Update Date	:	07/08/2007

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Directions to “ MS. JOAN D. CAHILL LCSW” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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