Healthcare Provider Details

I. General information

NPI: 1033211149
Provider Name (Legal Business Name): MARIA L PACHECO LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/01/2006
Last Update Date: 06/05/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

73 CEDAR ST NEW BRITIAN GENERAL HOSPITAL HISPANIC COUNSELING CENTER
NEW BRITAIN CT
06052-1390
US

IV. Provider business mailing address

73 CEDAR ST THE HOSPITAL OF CENTRAL CT
NEW BRITAIN CT
06051-3113
US

V. Phone/Fax

Practice location:
  • Phone: 860-224-5300
  • Fax: 860-826-4493
Mailing address:
  • Phone: 860-224-5300
  • Fax: 860-826-4493

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number005192
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: