Active NPI
Hollie Barkoff LCSW, LLC
- Community/Behavioral Health Agency
- West Hartford, CT
National Provider Identifier
1013313717
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- 004221
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CBHP662HB | Medicaid | CT |
National Provider Directory
National Provider DirectoryNPI 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.