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NPI Code Detail

MEDICARE: MS. CATHERINE MARIE EWING LCSW, MDIV

MEDICARE:  MS. CATHERINE MARIE EWING  LCSW, MDIV
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
11041C0700XClinical Social WorkerCT001969CT

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1CT001969OTHERCTSOCIAL WORK LICENSE

General Provider Information

NPI Number : 1518050434
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. CATHERINE MARIE EWING LCSW, MDIV
Provider Business Mailing Address
First Line : 9A PASCO DR
Second Line :
City : EAST WINDSOR
State : CT
Zip : 06088-1700
Country : US
Telephone Number : 860-899-1220
Fax Number : 860-838-6460
Provider Business Practice Location Address
First Line : 9A PASCO DR
Second Line :
City : EAST WINDSOR
State : CT
Zip : 06088-1700
Country : US
Telephone Number : 860-899-1220
Fax Number : 860-838-6460
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/02/2006
Last Update Date : 12/09/2011

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Directions to “ MS. CATHERINE MARIE EWING LCSW, MDIV” Practice Location

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