Provider Demographics
NPI:1558409474
Name:HEXEL, CATHERINE ELLEN (MSW)
Entity Type:Individual
Prefix:MS
First Name:CATHERINE
Middle Name:ELLEN
Last Name:HEXEL
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:MS
Other - First Name:CATHERINE
Other - Middle Name:ELLEN
Other - Last Name:HEXEL
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCSW, ACSW
Mailing Address - Street 1:231 OVERLOOK RD
Mailing Address - Street 2:
Mailing Address - City:POUGHKEEPSIE
Mailing Address - State:NY
Mailing Address - Zip Code:12603-6213
Mailing Address - Country:US
Mailing Address - Phone:845-471-0046
Mailing Address - Fax:
Practice Address - Street 1:231 OVERLOOK RD
Practice Address - Street 2:
Practice Address - City:POUGHKEEPSIE
Practice Address - State:NY
Practice Address - Zip Code:12603-6213
Practice Address - Country:US
Practice Address - Phone:845-471-0046
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR0193901041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYP466067OtherOXFORD INSUR. PROVIDER ID
NY30432OtherGHI INSURANCE PROVIDER ID
NY7623000OtherMAGELLAN BEH CARE ID
NYN28031Medicare ID - Type UnspecifiedMEDICARE PROVIDER ID