Irene J. Demers, LCSW
Individual provider Active NPI Clinical Social Worker · Mansfield Center, CT
NPI 1295065324 · NPPES record last updated Jan 13, 2010
Key facts
- NPI
- 1295065324
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 005199 (CT)
- Practice address
- 189 Storrs Rd
Mansfield Center, CT 06250-1683 - Phone
- (860) 449-9947
- Fax
- (860) 445-0414
- NPI assigned
- Jan 13, 2010
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 005199 | CT | MD | Neonatal Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Natchaug Hospital, Inc. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 005199 | CT | Yes |
Addresses
Primary practice location
189 Storrs Rd
Mansfield Center, CT 06250-1683
Mailing address
1353 Gold Star Hwy
Groton, CT 06340-2739
Phone (860) 449-9947
Other providers in Mansfield Center, CT
- Olivia Davenport
- David Henry, PH.D.
- Susan Davis
- Khara Lee Dean
- Francis Anthony Degennaro III
- Kristin Amanda Dilaj
- Kristine Leslie Dimartino
- Lisa Donahue
- Marcia A Donofrio
- Lynn Karen Dove
All providers in Mansfield Center, CT · Clinical Social Worker in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 13, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.