Heidi Outtrim, LCSW is a
Social Worker - Clinical based in Hamden, Connecticut. Heidi Outtrim is licensed to practice in Connecticut (license number 8837) and her current practice location is
197 Haverford St, Hamden, Connecticut. She can be reached at her office (for appointments etc.) via phone at
(745) 719-0487.
NPI number for Heidi Outtrim is 1033429972 and her current mailing address is Po Box 7720, Credentialing Specialist, New Haven, Connecticut. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1033429972.
Healthcare Provider's Profile
| Full Name | Heidi Outtrim |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 197 Haverford St, Hamden, Connecticut |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1033429972
- Provider Enumeration Date: 10/13/2010
- Last Update Date: 08/13/2018
Medical Identifiers
Medical identifiers for Heidi Outtrim such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1033429972 | NPI | - | NPPES |
| M18684 | Other | MA | BLUE CROSS BLUE SHEILD |
| 1306421 | Medicaid | MA | |
| 22220002001 | Other | MA | BLUE CROSS BLUE SHEILD |
| 1308785 | Medicaid | MA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | 8837 (Connecticut) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Heidi Outtrim is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Heidi Outtrim, LCSW
Po Box 7720, Credentialing Specialist,
New Haven, CT 06519-0720
Ph: (203) 503-3174 | Heidi Outtrim, LCSW
197 Haverford St,
Hamden, CT 06517
Ph: (745) 719-0487 |
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