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MANCHESTER MEMORIAL HOSPITAL
NPI 1578817763
Social Worker - Clinical in Manchester, CT

Active since November 09, 2012
71 HAYNES ST, MANCHESTER, CT 06040(860) 646-1222(860) 647-6831 Get Directions Write a Review

NPPES record last updated: November 9, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Manchester Memorial Hospital NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MANCHESTER MEMORIAL HOSPITAL (NPI 1578817763) is a healthcare organization registered as a clinical in Manchester, Connecticut and active in the NPI registry since November 2012. The organization lists Linda Jakoboski, Bh Administration Secretary, as its authorized official.

NPPES Registry Identity

NPI1578817763
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameMANCHESTER MEMORIAL HOSPITAL
Location Address71 HAYNES STManchester, CT 06040-4131
Mailing Address71 Haynes StManchester, CT 06040-4131 · (860) 646-1222 · Fax (860) 647-6831
Phone(860) 646-1222
Fax(860) 647-6831
Organization SubpartNo
Authorized OfficialLinda JakoboskiBh Administration Secretary · (860) 533-3494
Enumeration DateNovember 9, 2012
✔ NPI 1578817763 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in CT · 002525
Definition
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.
71 HAYNES ST, Manchester, CT 06040
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. FRANKLIN GEORGE GILLIG M.D.
Emergency Medicine
71 HAYNES ST
MANCHESTER, CT 06040
Capitol Planning Region (860) 646-1222
MRS. CORY BERNARD LCSW
Social Worker (Clinical)
71 HAYNES ST, BEHAVIORAL HEALTH UNIT
MANCHESTER, CT 06040
Capitol Planning Region (860) 646-1222
DR. DINESH S. SHAH M.D.
Emergency Medicine
71 HAYNES ST
MANCHESTER, CT 06040
Capitol Planning Region (860) 646-1222
DANIELLE KIREI PA
Physician Assistant
71 HAYNES ST
MANCHESTER, CT 06040
Capitol Planning Region (860) 646-1222
RAJITHA REDDY
Student in an Organized Health Care Education/Training Program
71 HAYNES ST
MANCHESTER, CT 06040
Capitol Planning Region (860) 533-4679
DR. ALLANA R LEE D.O.
Psychiatry & Neurology (Child & Adolescent Psychiatry)
71 HAYNES ST
MANCHESTER, CT 06040
Capitol Planning Region (860) 646-1222
ANDREA LYNCH PA-C
Physician Assistant (Surgical)
71 HAYNES ST
MANCHESTER, CT 06040
Capitol Planning Region (860) 533-6595
JAMSHID A MARVASTI, M.D. P.C.
Psychiatry & Neurology (Psychiatry)
71 HAYNES ST, MMH
MANCHESTER, CT 06040
Capitol Planning Region (860) 643-1166

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Manchester Memorial Hospital's NPI number?

The NPI number for Manchester Memorial Hospital is 1578817763. It was assigned to this organization in the NPPES registry on November 9, 2012.

Where is Manchester Memorial Hospital located?

Manchester Memorial Hospital is located at 71 Haynes St, Manchester, CT 06040. The listed phone number is (860) 646-1222.

What is Manchester Memorial Hospital's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Manchester Memorial Hospital was last updated on November 9, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.