Greta E Macmillan
Clinical Social Worker
147 Durham Rd
Madison
, Connecticut 06443-2675
Greta E Macmillan
Clinical Social Worker
147 Durham Rd
Madison
, Connecticut 06443-2675
(860) 966-9813
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About
Features
Specialties
- Clinical Social Worker
Languages spoken
- English
Location
First Address
- Greta E Macmillan
- 101 Neck Rd
- Madison, CT
- Zip : 06443-2814
- Phone : (860) 966-9813
Second Address
- Greta E Macmillan
- 147 Durham Rd
- Madison, CT
- Zip : 06443-2675
- Fax : (203) 902-0191
- Phone : (774) 473-9341
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Is Greta E Macmillan a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1041C0700X | Clinical Social Worker | 005959 | CT |
National Provider Identifier
| NPI | 1003126491 |
|---|---|
| Provider Name | Greta E Macmillan |
| First Address | Madison, CT 06443-2814 |
| Second Address | Madison, CT 06443-2675 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 19/10/2010 |
| Last Update Date | 15/07/2019 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 209589 | (05) | CT |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.