Active NPIIndividual provider

Mrs. Katherine Fontaine, LICSW

Social Worker, Clinical in Manchester, Connecticut

NPI Number1013172311
Practice location
444 Center St, Manchester, CT 06040-3926
Fax
860-731-5536
Last updated
October 30, 2024

Katherine Fontaine is a Social Worker, Clinical based in Manchester, CT. Katherine Fontaine practices in Manchester, CT and has the professional credentials of LICSW. The NPI Number for Katherine Fontaine is 1013172311. The current practice location address for Katherine Fontaine is 444 Center St, Manchester, CT 06040-3926 and can be reached out via phone at 860-646-3888 and via fax at 860-731-5536.

Provider Profile Details

NPI Number
1013172311
Provider Name
Katherine Fontaine
Credential
LICSW
Provider Entity Type
Individual
Gender
Female
Address
444 Center St, Manchester, CT 06040-3926
Phone Number
860-646-3888
Fax Number
860-731-5536
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
No
Provider Enumeration Date
July 25, 2008
Last Update Date
October 30, 2024
Certification Date
October 30, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
444 Center St
Manchester, CT 06040-3926
Zip
06040-3926
Phone Number
860-646-3888
Fax Number
860-731-5536
Manchester, CT 06040Get directions →

Provider Business Mailing Address Details

Address
2 Allen St # C
Hampden, MA 01036-9552
City
Hampden
State
MA
Zip
01036-9552
Phone Number
413-200-8874
Fax Number
860-731-5536

License Information

Taxonomy (1)
Social Worker, Clinical · 1041C0700X · Primary
Taxonomy (2)
Counselor, Mental Health · 101YM0800X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mrs. Katherine Fontaine, LICSW?

The NPI number of Mrs. Katherine Fontaine, LICSW is 1013172311. It was assigned on July 25, 2008 and is currently active in the NPPES registry.

What is the specialty of Mrs. Katherine Fontaine, LICSW?

Mrs. Katherine Fontaine, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X).

Where does Mrs. Katherine Fontaine, LICSW practice?

The practice location is 444 Center St, Manchester, CT 06040-3926. The office can be reached at 860-646-3888 (phone) or 860-731-5536 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1013172311 directly on the NPPES registry website.

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