Basic Information
| Provider Information | |||||||||
| NPI: | 1174635577 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | BABB | ||||||||
| FirstName: | JANET | ||||||||
| MiddleName: | MORGAN | ||||||||
| NamePrefix: | MS. | ||||||||
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| Credential: | LCSW | ||||||||
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| Mailing Information | |||||||||
| Address1: | 555 WILLARD AVE | ||||||||
| Address2: | NEWINGTON VA HEALTH CARE, SOCIAL WORK SUPERVISOR | ||||||||
| City: | NEWINGTON | ||||||||
| State: | CT | ||||||||
| PostalCode: | 061112631 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8606666951 | ||||||||
| FaxNumber: | 8606676872 | ||||||||
| Practice Location | |||||||||
| Address1: | 222 MCKEE ST | ||||||||
| Address2: | |||||||||
| City: | MANCHESTER | ||||||||
| State: | CT | ||||||||
| PostalCode: | 060404800 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8609224180 | ||||||||
| FaxNumber: | 8888557440 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/31/2006 | ||||||||
| LastUpdateDate: | 11/19/2009 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 1041C0700X | 15735 | TX | N | Behavioral Health & Social Service Providers | Social Worker | Clinical | 1041C0700X | 006493 | CT | Y | Behavioral Health & Social Service Providers | Social Worker | Clinical |
No ID Information.