Organization Active NPI

Hollie Barkoff LCSW, LLC

  • Community/Behavioral Health Agency
  • West Hartford, CT
National Provider Identifier
1013313717
Registry record updated Nov 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
004221 Issued in CT
Legal business name
HOLLIE BARKOFF LCSW, LLC
Practice address
45 S Main St
Suite 107
West Hartford, CT 06107-2441
Phone
(860) 463-4243
NPI assigned
Nov 7, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Hollie Barkoff, LCSW
Title
Clinical Social Worker
Phone
(860) 463-4243

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 004221 CT Primary

Addresses

Primary practice location

45 S Main St
Suite 107
West Hartford, CT 06107-2441

Mailing address

30 Basswood Rd
Farmington, CT 06032-1134
Phone (860) 463-4243

Other identifiers 1

IdentifierTypeStateIssuer
CBHP662HBMedicaidCT

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1415318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415318400000",
    "number": "1013313717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 BASSWOOD RD",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060321134",
            "telephone_number": "860-463-4243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 S MAIN ST",
            "address_2": "SUITE 107",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061072441",
            "telephone_number": "860-463-4243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLLIE BARKOFF LCSW, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-07",
        "last_updated": "2014-11-07",
        "status": "A",
        "authorized_official_last_name": "BARKOFF",
        "authorized_official_first_name": "HOLLIE",
        "authorized_official_title_or_position": "CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "860-463-4243",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CT",
            "license": "004221",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CBHP662HB",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Hartford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.