Outtrim, Heidi

Outtrim, Heidi is an individual health care provider with primary practice located at 197 Haverford St , Hamden CT 06517. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Outtrim, Heidi can be contacted via phone (745) 719-0487.

Contact Information

Primary practice address
197 Haverford St Hamden CT 06517
Phone: (745) 719-0487
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Clinical 1041C0700X 8837 Connecticut

Profile Details

NPI number 1033429972
LBN Legal business name Outtrim, Heidi
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 13th, 2010
Last updated Aug 13th, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033429972 NPPES
Massachusetts Other M18684 BLUE CROSS BLUE SHEILD
Massachusetts MEDICAID 1306421 BLUE CROSS BLUE SHEILD
Massachusetts Other 22220002001 BLUE CROSS BLUE SHEILD
Massachusetts MEDICAID 1308785 BLUE CROSS BLUE SHEILD

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