MS. CORDELIA K HATHEWAY (NPI# 1407971971) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407971971 |
| Entity Type | Individual |
| Full Name | MS. CORDELIA K HATHEWAY |
| Credential | LPC |
| Practice Address |
664 Prospect Ave Hartford CT 06105-4203 |
| Practice Telephone | 8602334830 |
| Mailing Telephone | 8602334830 |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | 000558 | CT | Behavioral Health & Social Service Providers |
| Street Address |
664 PROSPECT AVE |
| City | HARTFORD |
| State | CT |
| Zip Code | 06105-4203 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073552865 | Diane M Bray | Clinical Nurse Specialist | 664 Prospect Ave, Hartford, CT 06105-4203 | 2006-06-06 |
| 1245681386 | Carlita Francine Elias | Psychologist | 664 Prospect Ave, Hartford, CT 06105-4203 | 2016-06-30 |
| 1245561463 | Avalon Psychological Group, P.C. | Psychologist | 664 Prospect Ave, Hartford, CT 06105-4203 | 2010-01-28 |
| 1407083843 | Jeffrey A Asmar LLC | Community/Behavioral Health | 664 Prospect Ave, Hartford, CT 06105-4203 | 2009-06-11 |
| 1588828644 | Catherine Tufano | Counselor | 664 Prospect Ave, Hartford, CT 06105 | 2008-07-17 |
| 1720255862 | Jessica G Lyons | Social Worker | 664 Prospect Ave, 2nd Floor, Hartford, CT 06105-4203 | 2008-05-08 |
| 1144402033 | Steven M Katz, Md,llc | Psychiatry & Neurology | 664 Prospect Ave, Hartford, CT 06105-4203 | 2007-12-03 |
| 1841412186 | Cynthia R Leach | Social Worker | 664 Prospect Ave, Hartford, CT 06105 | 2007-05-03 |
| 1770621310 | Mark S Braunsdorf | Psychologist | 664 Prospect Ave, Hartford, CT 06105-4203 | 2007-02-04 |
| 1386790392 | Ruth Hofstatter | Counselor | 664 Prospect Ave, Hartford, CT 06105-4203 | 2007-01-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275155939 | Pruthwy R Addanki | Student in an Organized Health Care Education/Training Program | Saint Francis Clinic, 1000 Asylum Avenue, Suite 1004, Hartford, CT 06105 | 2020-05-15 |
| 1700447802 | Samuel Flynn | Student in an Organized Health Care Education/Training Program | 1000 Asylum Avenue, Suite 3200, Hartford, CT 06105 | 2019-06-28 |
| 1730743568 | Turab J Mohammed | Student in an Organized Health Care Education/Training Program | Saint Francis Hospital Clinic, 1000 Asylum Avenue, Suite 1004, Hartford, CT 06105 | 2019-04-26 |
| 1164900387 | Breanne Ferrara | Social Worker | 43 Wooland St, Hartford, CT 06105 | 2018-07-31 |
| 1154814069 | Signature Smiles of Hartford LLC | Dentist | 550 Farmington Avenue, Suite B, Hartford, CT 06105 | 2018-06-14 |
| 1356839062 | Jaimy Villavicencio | Student in an Organized Health Care Education/Training Program | 100 Asylum Avenue, Suite 1004, Hartford, CT 06105 | 2018-04-27 |
| 1750885679 | Brittany Bird | Student in an Organized Health Care Education/Training Program | 839-841 Asylum Avenue, Hartford, CT 06105 | 2018-03-23 |
| 1972032241 | Ashley Nicole Mills | Student in an Organized Health Care Education/Training Program | 896 Asylum Ave, 3rd Floor, Hartford, CT 06105 | 2017-06-08 |
| 1528506847 | Samuel Agyei | Social Worker | 291 Collins St, Hartford, CT 06105 | 2017-02-07 |
| 1841735818 | Katie Strahowski | Nurse Practitioner | 85 Gillett Street, Clean Slate, Hartford, CT 06105 | 2016-12-30 |
| Find all providers in zip 06105 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407464894 | Michael Shelby | Counselor | 151 New Park Ave Unit 7, Hartford, CT 06106-2191 | 2020-07-21 |
| 1609408061 | Carolina Jimenez | Counselor | 14 Belridge St, Hartford, CT 06106-4203 | 2020-02-04 |
| 1962960336 | Tasha Rose | Counselor | 148 Cleveland Ave, Hartford, CT 06120-1049 | 2019-03-05 |
| 1720577646 | Jennifer Elana Lassman | Counselor | 20 Front St Apt 505, Hartford, CT 06103 | 2018-05-07 |
| 1255835591 | Dayeshell Muhammad | Counselor | 111 Gillett St, Hartford, CT 06105-2630 | 2018-03-21 |
| 1376043471 | Theresa Nicholson | Counselor | 660 Prospect Ave 3rd Fl, Hartford, CT 06105-4245 | 2018-02-15 |
| 1649713231 | Maria Marrero | Counselor | 128 Flatbush Ave, Hartford, CT 06106-3835 | 2016-11-30 |
| 1821450099 | Atin Counseling Services LLC | Counselor | 853 Taft Ter, Hartford, WI 53027-9287 | 2016-03-25 |
| 1811399959 | Cecily Pacheco | Counselor | 43 Woodland St., Hartford, CT 06105 | 2014-09-19 |
| 1104118405 | Luz Minerva Betancourt | Counselor | 107 Harvard St, Hartford, CT 06106-4519 | 2011-05-05 |
| Find all providers in HARTFORD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.