Provider Demographics
NPI:1356019871
Name:HUGHES, MARCIA M (PHD, MSW)
Entity Type:Individual
Prefix:DR
First Name:MARCIA
Middle Name:M
Last Name:HUGHES
Suffix:
Gender:F
Credentials:PHD, MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:260 SCANTIC RD
Mailing Address - Street 2:
Mailing Address - City:EAST WINDSOR
Mailing Address - State:CT
Mailing Address - Zip Code:06088-9735
Mailing Address - Country:US
Mailing Address - Phone:860-377-6183
Mailing Address - Fax:
Practice Address - Street 1:260 SCANTIC RD
Practice Address - Street 2:
Practice Address - City:EAST WINDSOR
Practice Address - State:CT
Practice Address - Zip Code:06088-9735
Practice Address - Country:US
Practice Address - Phone:860-377-6183
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-31
Last Update Date:2021-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT5962104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker