Andhrose M Bazil

Individual provider Active NPI Social Worker · East Hartford, CT

NPI 1548054364 · NPPES record last updated Apr 10, 2025

Key facts

NPI
1548054364
Entity type
Individual (NPI type 1)
Primary specialty
Social Worker 104100000X
Practice address
77 Hartland St
East Hartford, CT 06108-6201
Phone
(877) 884-3571
Fax
(860) 731-5536
NPI assigned
Apr 7, 2025
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)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X Yes

Addresses

Primary practice location

77 Hartland St
East Hartford, CT 06108-6201

Mailing address

2 Waterside Xing Ste 401
Windsor, CT 06095-1588
Phone (860) 697-3351

Other practice location 1

444 Center St
Manchester, CT 06040-3926
Phone (860) 731-5522

Other providers in East Hartford, CT

All providers in East Hartford, CT · Social Worker in Connecticut

Sources for this page

Verify at the official NPI Registry.