MEDICARE: MRS. HEATHER LOUISE PARENTI LCSW

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	LCS 19194	CA

General Provider Information

NPI Number	:	1336290451
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. HEATHER LOUISE PARENTI LCSW

Provider Business Mailing Address
First Line	:	103 STEEP HILL RD
Second Line	:
City	:	WESTON
State	:	CT
Zip	:	06883-1813
Country	:	US
Telephone Number	:	203-644-0653
Fax Number	:	203-293-4971

Provider Business Practice Location Address
First Line	:	103 STEEP HILL RD
Second Line	:
City	:	WESTON
State	:	CT
Zip	:	06883-1813
Country	:	US
Telephone Number	:	203-644-0653
Fax Number	:	203-293-4971

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

Provider Enumeration Date	:	01/15/2007
Last Update Date	:	06/21/2022

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