Maria Iwona Herasimowicz

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

000946 Issued in CT

Practice address

16 Coventry St
Hartford, CT 06112-1524

Phone

(860) 714-3704

NPI assigned

May 21, 2012

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 names 1

• Mrs. Maria Iwona Herasimowicz Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1337558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337558400000",
    "number": "1467712653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 BLUE HILLS AVE",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061121500",
            "telephone_number": "860-714-3701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 COVENTRY ST",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061121524",
            "telephone_number": "860-714-3704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERASIMOWICZ",
        "first_name": "MARIA",
        "middle_name": "IWONA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-05-21",
        "last_updated": "2012-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CT",
            "license": "000946",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIA",
            "last_name": "HERASIMOWICZ",
            "middle_name": "IWONA",
            "prefix": "MRS.",
            "credential": "MA",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Eartha Henry, LCSW
• Kerrie Henry, MD
• Marshalee Henry
• Catherine Mary Henzy, LCSW
• Jeri Hepworth, PH.D.
• Sarah A Herbsman
• Sarah Herbst, MD
• Hercules Helping Hands, LLC
• Hercules Helping Hands, LLC
• Meschac Hercules

• Addiction (Substance Use Disorder) Counselor in Hartford, CT
• Providers in Hartford, CT by specialty
• Addiction (Substance Use Disorder) Counselor in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2012; 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.