Basic Information
Provider Information
NPI: 1730487372
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: POST
FirstName: MAUREEN
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: LCSW
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: P.O. BOX 415933
Address2: HARTFORD HOSPITAL PROFESSIONAL SERVICES
City: BOSTON
State: MA
PostalCode: 022415933
CountryCode: US
TelephoneNumber: 8605457602
FaxNumber:  
Practice Location
Address1: 200 RETREAT AVENUE
Address2: HARTFORD HOSPITAL PSYCHIATRY DEPT
City: HARTFORD
State: CT
PostalCode: 061033310
CountryCode: US
TelephoneNumber: 8605457200
FaxNumber:  
Other Information
ProviderEnumerationDate: 03/07/2011
LastUpdateDate: 03/07/2011
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
1041C0700X001341CTY Behavioral Health & Social Service ProvidersSocial WorkerClinical

No ID Information.


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