Marlene Harriet Heald, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

002243 Issued in CT

Practice address

493 Taft Pond Rd
Pomfret Center, CT 06259-1315

Phone

(860) 974-1047

Fax

(860) 974-1047

NPI assigned

Dec 1, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1124196753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "493 TAFT POND RD",
            "city": "POMFRET CENTER",
            "state": "CT",
            "postal_code": "062591315",
            "telephone_number": "860-974-1047",
            "fax_number": "860-974-1047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "493 TAFT POND RD",
            "city": "POMFRET CENTER",
            "state": "CT",
            "postal_code": "062591315",
            "telephone_number": "860-974-1047",
            "fax_number": "860-974-1047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEALD",
        "first_name": "MARLENE",
        "middle_name": "HARRIET",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-01",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "002243",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5941591",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "140002243CT01",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "304694",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Center for Interpersonal Relations Inc
• Noreen T Chapman, LCSW
• Elizabeth Jo-an Cracco, PH.D.
• Kala Farnham
• Melissa Grady-Ambrose, LCSW
• Healing Acres Professional Counseling & Therapeutic Activity
• Hudson Home Health Care, Inc.
• John R Kashmanian DMD PC
• Lab Speech Language
• Roland H Lupien, DDS

• All providers in Pomfret Center, CT
• Clinical Social Worker in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.