Hollie Barkoff, LCSW
Individual provider Active NPI Clinical Social Worker · West Hartford, CT
NPI 1528087798 · NPPES record last updated Oct 8, 2010
Key facts
- NPI
- 1528087798
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 004221 (CT)
- Practice address
- 333 Bloomfield Ave Ste a
West Hartford, CT 06117-1544 - Phone
- (860) 236-1927
- NPI assigned
- Jul 19, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 004221 | CT | MD | Clinical Social Worker |
| 4221 | CT | MD | Dentist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 004221 | CT | Yes |
Addresses
Primary practice location
333 Bloomfield Ave Ste a
West Hartford, CT 06117-1544
Mailing address
333 Bloomfield Ave Ste a
West Hartford, CT 06117-1544
Phone (860) 236-1927
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004083672 | Medicaid | CT |
Other providers in West Hartford, CT
- Tapas Bandyopadhyay
- Mary Ellen Baranik
- Jeremy M Barbagallo
- Barbara Bennett LMFT, LLC.
- Karen Baril
- Kalynn Sears Barnett
- Caren Anne Barone
- Natasha Barrett
- Barry M Rosen Kranz MD PC
- Kevin R Barry
All providers in West Hartford, 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 Oct 8, 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.