Charles Barrett, LCSW

Individual provider Active NPI Clinical Social Worker · Manchester, CT

NPI 1245096015 · NPPES record last updated Feb 28, 2024

Key facts

NPI
1245096015
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
013592 (CT)
Practice address
63 E Center St # 2R
Manchester, CT 06040-5221
Phone
(860) 281-1133
NPI assigned
Feb 28, 2024
Sex
Male
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
013592CTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Beehive Counseling & Wellness LLC Clinical Past
since Feb 16, 2020
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 013592 CT Yes

Addresses

Primary practice location

63 E Center St # 2R
Manchester, CT 06040-5221

Mailing address

18 Sunset Rd
Newington, CT 06111-2620
Phone (860) 270-9665

Other providers in Manchester, CT

All providers in Manchester, CT · Clinical Social Worker in Connecticut

Sources for this page

Verify at the official NPI Registry.