Healthcare Provider Details

I. General information

NPI: 1669585030
Provider Name (Legal Business Name): REINHOLD W HEKELER MSW
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/17/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

135 GREEN HILL LN
CHESHIRE CT
06410-3625
US

IV. Provider business mailing address

135 GREEN HILL LN
CHESHIRE CT
06410-3625
US

V. Phone/Fax

Practice location:
  • Phone: 203-272-8933
  • Fax:
Mailing address:
  • Phone: 203-272-8933
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number000024
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: