Waheedah Abdul-Lateef, COUNSELOR AIDE-CHILD

Individual provider Active NPI Community Health Worker · Waterbury, CT

NPI 1265739726 · NPPES record last updated Feb 18, 2011

Key facts

NPI
1265739726
Entity type
Individual (NPI type 1)
Primary specialty
Community Health Worker 172V00000X
Practice address
79 Beacon St
Waterbury, CT 06704-3424
Phone
(203) 574-3311
Fax
(203) 574-3315
NPI assigned
Feb 18, 2011
Sex
Female
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

Practice roles

OrganizationSpecialtyStatusNew patients
Women and Childrens Program Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Worker 172V00000X CT Yes

Addresses

Primary practice location

79 Beacon St
Waterbury, CT 06704-3424

Mailing address

402 E Main St
Waterbury, CT 06702-1701
Phone (203) 755-1143

Other providers in Waterbury, CT

All providers in Waterbury, CT · Community Health Worker in Connecticut

Sources for this page

Verify at the official NPI Registry.