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Provider Information for 1396800926


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Ms. ELIZABETH ANNE MCKEE MSW


Sex: Female

NPI: 1396800926
Last Updated: 2016-08-04
Certification Date:

Details

NameValue
NPI1396800926
Enumeration Date2006-12-26
NPI TypeNPI-1 Individual
Sole ProprietorYES
StatusActive
Mailing Address 150 SOUTH STREET
WASHINGTON, CT 06793
United States

Phone: 860-868-9031 | Fax:
 
Primary Practice Address 235 MAIN ST
WATERTOWN, CT 06795-2261
United States

Phone: 860-868-9031 | Fax:
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Other (non-Medicare)CT140000045CT02BC
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
No 1041S0200X - Social Worker - SchoolCT
Yes 1041C0700X - Social Worker - ClinicalCTCT000045