MEDICARE: MS. CATHERINE HART MSW.LCSW,SCSA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	004189	CT

General Provider Information

NPI Number	:	1043396435
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. CATHERINE HART MSW.LCSW,SCSA

Provider Business Mailing Address
First Line	:	9 KNIGHT ST
Second Line	:
City	:	WATERTOWN
State	:	CT
Zip	:	06795-3126
Country	:	US
Telephone Number	:	860-945-6010
Fax Number	:	860-945-6010

Provider Business Practice Location Address
First Line	:	9 KNIGHT ST
Second Line	:
City	:	WATERTOWN
State	:	CT
Zip	:	06795-3126
Country	:	US
Telephone Number	:	860-945-6010
Fax Number	:	860-945-6010

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/27/2006
Last Update Date	:	07/08/2007

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