Healthcare Provider Details

I. General information

NPI: 1871609909
Provider Name (Legal Business Name): TERESA C WORKS LCSW, ACSW, MSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/22/2006
Last Update Date: 12/19/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

50 GRISWOLD STREET NEW BRITIAN GENERAL HOSPITAL COUNSELING CENTER
NEW BRITIAN CT
06050
US

IV. Provider business mailing address

45 RUSSELL ST
NEW BRITAIN CT
06052-1312
US

V. Phone/Fax

Practice location:
  • Phone: 860-224-5267
  • Fax: 860-224-5752
Mailing address:
  • Phone: 860-612-0432
  • Fax: 860-612-0087

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number003023
License Number StateCT
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: