Doctor Name: | MS. IRENE J. DEMERS |
NPI Number: | 1295065324 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | 005199 |
Business Practice Address: | 189 Storrs Rd Mansfield Center, CT - 062501683 |
Business Phone Number: | 8604499947 |
Business Fax Number: | 8604450414 |
Mailing Address: | 1353 Gold Star Hwy, GROTON |
State: | CT |
Postal Code: | 063402739 |
Phone Number: | 8604499947 |
Fax Number: | 8604450414 |
NPI Enumeration Date: | 01/13/2010 |
NPI Last Update Date: | 01/13/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 005199 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CT |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |