MEDICARE: MRS. KAEMAII MEISHA PIERRE 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	011833	CT

General Provider Information

NPI Number	:	1982386652
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. KAEMAII MEISHA PIERRE LCSW

Provider Business Mailing Address
First Line	:	91 CHAPMAN ST
Second Line	:
City	:	NEW BRITAIN
State	:	CT
Zip	:	06051-2809
Country	:	US
Telephone Number	:	860-970-4492
Fax Number	:

Provider Business Practice Location Address
First Line	:	36 RUSS ST
Second Line	:
City	:	HARTFORD
State	:	CT
Zip	:	06106-1520
Country	:	US
Telephone Number	:	860-266-7601
Fax Number	:	860-200-0761

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

Provider Enumeration Date	:	08/02/2023
Last Update Date	:	08/02/2023

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