Provider Demographics
NPI:1487774378
Name:HANRATTY, DEBRA W (LCSW,BSW,MSW)
Entity type:Individual
Prefix:MS
First Name:DEBRA
Middle Name:W
Last Name:HANRATTY
Suffix:
Gender:F
Credentials:LCSW,BSW,MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:AWAKEN THE POWER THERAPY, LLC 58 RIVER STREET
Mailing Address - Street 2:SUITE#10
Mailing Address - City:MILFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06460-7044
Mailing Address - Country:US
Mailing Address - Phone:203-693-1050
Mailing Address - Fax:203-306-3388
Practice Address - Street 1:883 PADDOCK AVE
Practice Address - Street 2:
Practice Address - City:MERIDEN
Practice Address - State:CT
Practice Address - Zip Code:06450-7044
Practice Address - Country:US
Practice Address - Phone:203-630-5305
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-02
Last Update Date:2017-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT51521041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT14026266OtherCAQH
CT472092928OtherANTHEM BCBS OF CT BEHAVIORAL HEALTH
CT008038010Medicaid
CT472092928OtherCIGNA BEHAVIORAL HEALTH
CT2651131OtherVALUE OPTIONS/RUSHFORD
CT2651131OtherUNITED BEHAVIORAL HEALTH-OPTUM/RUSHFORD
CTPENDINGOtherANTHEM BCBS OF CT BEHAVIORAL HEALTH- AWAKEN THE POWER THERAPY