Provider Demographics
NPI:1457450603
Name:OFFNER, JOAN E (LCSW)
Entity Type:Individual
Prefix:MS
First Name:JOAN
Middle Name:E
Last Name:OFFNER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 RIVERVIEW CTR.
Mailing Address - Street 2:SUITE 303
Mailing Address - City:MIDDLETOWN
Mailing Address - State:CT
Mailing Address - Zip Code:06457
Mailing Address - Country:US
Mailing Address - Phone:860-347-0714
Mailing Address - Fax:860-347-0714
Practice Address - Street 1:100 RIVERVIEW CTR.
Practice Address - Street 2:SUITE 303
Practice Address - City:MIDDLETOWN
Practice Address - State:CT
Practice Address - Zip Code:06457
Practice Address - Country:US
Practice Address - Phone:860-347-0714
Practice Address - Fax:860-347-0714
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-22
Last Update Date:2013-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0028051041C0700X
MO0001631041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT140002805CT03OtherANTHEM BCBS
CT069984OtherVALUE OPTIONS
CT002805OtherCONMEDICARE
CTIP293214OtherMAGELLAN
CTMIS016OtherOXFORD HEALTH
CT800004279OtherMEDICARE ID- TYPE UNSPECIFIED
CT0005969405OtherAETNA BH
CT1016782OtherCIGNA BH