Provider Demographics
NPI:1215264866
Name:MICHEL, HEIKE MARIA HELENE (MSW, LCSW)
Entity type:Individual
Prefix:MS
First Name:HEIKE
Middle Name:MARIA HELENE
Last Name:MICHEL
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:MS
Other - First Name:JULE
Other - Middle Name:
Other - Last Name:MICHEL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MSW, LCSW
Mailing Address - Street 1:110 AMHERST ST
Mailing Address - Street 2:
Mailing Address - City:HARTFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06106-4512
Mailing Address - Country:US
Mailing Address - Phone:860-916-5124
Mailing Address - Fax:860-956-4166
Practice Address - Street 1:641 FARMINGTON AVE
Practice Address - Street 2:
Practice Address - City:HARTFORD
Practice Address - State:CT
Practice Address - Zip Code:06105-2949
Practice Address - Country:US
Practice Address - Phone:860-916-5124
Practice Address - Fax:860-956-4166
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-03
Last Update Date:2013-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0076901041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical