Provider Demographics
NPI:1033538228
Name:MARQUEZ, CALEIGH (MSW,BSW, LMSW, LCSW)
Entity Type:Individual
Prefix:
First Name:CALEIGH
Middle Name:
Last Name:MARQUEZ
Suffix:
Gender:F
Credentials:MSW,BSW, LMSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1187 QUEEN ST
Mailing Address - Street 2:
Mailing Address - City:SOUTHINGTON
Mailing Address - State:CT
Mailing Address - Zip Code:06489-1266
Mailing Address - Country:US
Mailing Address - Phone:203-518-5380
Mailing Address - Fax:203-490-4242
Practice Address - Street 1:1187 QUEEN ST
Practice Address - Street 2:
Practice Address - City:SOUTHINGTON
Practice Address - State:CT
Practice Address - Zip Code:06489-1266
Practice Address - Country:US
Practice Address - Phone:203-518-5380
Practice Address - Fax:203-490-4242
Is Sole Proprietor?:No
Enumeration Date:2014-04-15
Last Update Date:2021-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT1403104100000X
CT009439104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT13671436OtherCAQH
CT060669107OtherUBH- CONNECTICARE WELLMORE GRP/FACILITY
CTNOT ELIGIBLEOtherMHN MANAGE HEALTH NETWORK
CTPENDINGOtherHP MEDICAID
CT060669107OtherHEALTHYCT WELLMORE GRP/FACILITY
CTD33209OtherVALUE OPTIONS/BEACON HEALTH STRATEGIES
CTPENDINGOtherAETNA BEHAVIORAL HEALTH
CT060669107OtherUNITED BEHAVIORAL HEALTH
CT13671436OtherCAQH
CTNOT ELIGIBLEOtherMHN TRICARE NORTH
CTNOT ELIGIBLEMedicare PIN
CT060669107OtherUBH-UNITED HEALTHCARE WELLMORE GRP/FACILITY
CT060669107OtherUBH-OXFORD HEALTH LIBERTY/FREEDOM WELLMORE GRP/FACILITY
CTPENDINGOtherCIGNA BEHAVIORAL HEALTH