Healthcare Provider Details

I. General information

NPI: 1679609168
Provider Name (Legal Business Name): DEBORAH ANNE HOVEY LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/26/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

34 PARK DR CONNECTICUT MENTAL HEALTH CENTER
NEW HAVEN CT
06519
US

IV. Provider business mailing address

34 PARKS DR OFFICE OF CASE MANAGEMENT CONNECTICUT MENTAL HEALTH CENTER
NEW HAVEN CT
06519
US

V. Phone/Fax

Practice location:
  • Phone: 203-974-7417
  • Fax: 203-974-7413
Mailing address:
  • Phone: 203-974-7417
  • Fax: 203-974-7413

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number006175
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: