Healthcare Provider Details

I. General information

NPI: 1952849119
Provider Name (Legal Business Name): MONICA ECHEVARRIA, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/08/2017
Last Update Date: 12/16/2021
Certification Date: 12/16/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2317 SILAS DEANE HWY STE 2
ROCKY HILL CT
06067-2341
US

IV. Provider business mailing address

2317 SILAS DEANE HWY STE 2
ROCKY HILL CT
06067-2341
US

V. Phone/Fax

Practice location:
  • Phone: 860-906-2233
  • Fax: 860-436-4792
Mailing address:
  • Phone: 860-906-2233
  • Fax: 860-436-4792

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number9510
License Number StateCT

VIII. Authorized Official

Name: MRS. MONICA ECHEVARRIA
Title or Position: LICENSED CLINICAL SOCIAL WORKER
Credential: LCSW
Phone: 860-906-2233