Active NPIIndividual provider

Andrea M Harris-Kornblith, LCSW

Social Worker, Clinical in West Hartford, Connecticut

NPI Number1881291029
Practice location
445 S Main St, West Hartford, CT 06110-1646
Fax
—
Last updated
November 16, 2021

Andrea M Harris-Kornblith is a Social Worker, Clinical based in West Hartford, CT. Andrea M Harris-Kornblith practices in West Hartford, CT and has the professional credentials of LCSW. The NPI Number for Andrea M Harris-Kornblith is 1881291029 and holds a License No. 11560 (CT). The current practice location address for Andrea M Harris-Kornblith is 445 S Main St, West Hartford, CT 06110-1646 and can be reached out via phone at 860-696-2200.

Provider Profile Details

NPI Number
1881291029
Provider Name
Andrea M Harris-Kornblith
Credential
LCSW
Provider Entity Type
Individual
Gender
Female
Address
445 S Main St, West Hartford, CT 06110-1646
Phone Number
860-696-2200
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
No
Provider Enumeration Date
October 1, 2020
Last Update Date
November 16, 2021
Certification Date
November 16, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
445 S Main St
West Hartford, CT 06110-1646
Zip
06110-1646
Phone Number
860-696-2200
West Hartford, CT 06110Get directions →

Provider Business Mailing Address Details

Address
445 S Main St
West Hartford, CT 06110-1646
City
West Hartford
State
CT
Zip
06110-1646
Phone Number
860-696-2200

License Information

License Number (1)
11560
License State (1)
CT
Taxonomy (1)
Social Worker, Clinical · 1041C0700X · Primary
License Number (2)
088035
License State (2)
NY
Taxonomy (2)
Social Worker, Clinical · 1041C0700X

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 Andrea M Harris-Kornblith, LCSW?

The NPI number of Andrea M Harris-Kornblith, LCSW is 1881291029. It was assigned on October 1, 2020 and is currently active in the NPPES registry.

What is the specialty of Andrea M Harris-Kornblith, LCSW?

Andrea M Harris-Kornblith, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in CT under license number 11560.

Where does Andrea M Harris-Kornblith, LCSW practice?

The practice location is 445 S Main St, West Hartford, CT 06110-1646. The office can be reached at 860-696-2200 (phone).

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 1881291029 directly on the NPPES registry website.

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