MRS. PATRICIA D FREDETTE (NPI# 1114363264) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114363264 |
| Entity Type | Individual |
| Full Name | MRS. PATRICIA D FREDETTE |
| Credential | LCSW |
| Practice Address |
500 Vine Street Capitol Region Mental Health Center Hartford CT 06112 |
| Mailing Address |
500 Vine Street Human Resources Hartford CT 06112 |
| Practice Telephone | 8602970905 |
| Practice Fax Number | 8602970931 |
| Mailing Telephone | 8602970905 |
| Mailing Fax Number | 8602970931 |
| Enumeration Date | 2013-05-16 |
| Last Update Date | 2013-05-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
007297 | CT | Behavioral Health & Social Service Providers |
| Street Address |
500 VINE STREET CAPITOL REGION MENTAL HEALTH CENTER |
| City | HARTFORD |
| State | CT |
| Zip Code | 06112 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487689022 | State of Connecticut | Clinic/Center | 500 Vine Street, Hartford, CT 06112 | 2006-07-12 |
| 1285039628 | Margarita Gonzalez | Social Worker | 500 Vine Street, Capitol Region Mental Health Center, Hartford, CT 06112 | 2014-10-28 |
| 1609200823 | Roina Kidd-beason | Social Worker | 500 Vine Street, Capital Region Mental Health Center, Hartford, CT 06112 | 2013-08-23 |
| 1144662156 | Susan Joan Meunier | Nurse Practitioner | 500 Vine Street, Capitol Region Mental Health Center, Hartford, CT 06112 | 2013-07-19 |
| 1942649033 | Capitol Region Mental Health Center | Psychiatric Hospital | 500 Vine Street, Capitol Region Mental Health Center Pharmacy, Hartford, CT 06112 | 2013-06-21 |
| 1588917132 | Liane A Flynn | Social Worker | 500 Vine Street, Capitol Region Mental Health Center, Hartford, CT 06112 | 2012-10-19 |
| 1609143023 | Haydee Emperatriz Ciudad-mercado | Social Worker | 500 Vine Street, Capitol Region Mental Health Center, Hartford, CT 06112 | 2011-11-30 |
| 1760764005 | Ivette M. Suarez-bonilla | Social Worker | 500 Vine Street, Capitol Region Mental Health Center, Hartford, CT 06112 | 2011-09-13 |
| 1730394198 | Valerie R. Martin | Social Worker | 500 Vine Street, Capitol Region Mental Health Center, Hartford, CT 06112-2232 | 2007-05-11 |
| 1730219403 | Irshad Ahmed | Psychiatry & Neurology | 500 Vine Street, Capital Region Mental Health Center, Hartford, CT 06112 | 2007-03-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841810355 | Ashwin Mahesh | Student in an Organized Health Care Education/Training Program | 131 Coventry Street, 2nd Floor, Burgdorf Clinic, Hartford, CT 06112 | 2020-04-24 |
| 1336600527 | Waleed Ibrahim | Student in an Organized Health Care Education/Training Program | Burgdorf Clinic, 131 Coventry Street 2nd Floor, Hartford, CT 06112 | 2019-03-29 |
| 1740741941 | Hajra Munawar | Student in an Organized Health Care Education/Training Program | Burgdorf Clinic 131 Coventry Street, Hartford, CT 06112 | 2019-03-29 |
| 1194191973 | Esther Wint | Nurse Practitioner | 490 Blue Ave, Hartford, CT 06112 | 2015-08-17 |
| 1194105700 | Michelle Russi | Physical Therapy Assistant | 490 Blue Hill Ave., Hartford, CT 06112 | 2015-06-09 |
| 1366858359 | Krysten N Marotta | Pharmacist | 1290 Albany Ave, Hartford, CT 06112 | 2014-07-10 |
| 1447403522 | Moon Hee Yoo | Psychiatry & Neurology | 500 Vine St., Capitol Region Mental Health Center, Hartford, CT 06112 | 2008-11-03 |
| 1992958094 | Roxann Marie Ellis-denby | Social Worker | 51 Coventry Street, Capitol Region Mental Health Center, Hartford, CT 06112 | 2008-11-03 |
| 1265590871 | The Connecticut Institute for The Blind | Intermediate Care Facility, Mentally Retarded | 120 Holcomb Street, Hartford, CT 06112 | 2006-12-05 |
| 1164580379 | Intercommunity, Inc. | Clinic/Center | 16 Coventry Street, Hartford, CT 06112 | 2006-12-04 |
| Find all providers in zip 06112 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295367431 | Rise Clinical Services, LLC | Social Worker | 151 New Park Ave Unit 2b, Hartford, CT 06106-2191 | 2020-02-05 |
| 1902441025 | Danielle Gatny | Social Worker | 57418 County Road 681 Ste C, Hartford, MI 49057-9421 | 2019-11-13 |
| 1336781806 | A Minds Journey LLC | Social Worker | 1339 Albany Ave, Hartford, CT 06112-2107 | 2019-10-16 |
| 1689147340 | Comfort Counseling and Wellness | Social Worker | 74 Mansfield St, Hartford, CT 06112-1938 | 2019-01-05 |
| 1275010324 | Oasis Bilingual Counseling Services, LLC. | Social Worker | 682 Prospect Ave # 202, Hartford, CT 06105-4238 | 2018-07-22 |
| 1689196859 | Luisa Dinino-jones | Social Worker | 90 Retreat Ave, Hartford, CT 06106-2535 | 2017-07-10 |
| 1528506847 | Samuel Agyei | Social Worker | 291 Collins St, Hartford, CT 06105 | 2017-02-07 |
| 1881141356 | Deborah Rogala | Social Worker | 110 Bartholomew Ave Suite 3010, Hartford, CT 06106 | 2016-09-01 |
| 1346796737 | Monica Alvarenga | Social Worker | 27 Carpenter St, Hartford, CT 06106-2008 | 2016-08-26 |
| 1033573860 | Katherine Gebhardt Carbine | Social Worker | 157 Charter Oak Ave, Hartford, CT 06106-1913 | 2016-04-07 |
| Find all providers in HARTFORD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.