Mr William Fothergill, MA, MSW, LPC is a
Social Worker based in Hartford, Connecticut. Mr William Fothergill is licensed to practice in * (Not Available) (license number ) and his current practice location is
864 Wethersfield Ave, Hartford, Connecticut. He can be reached at his office (for appointments etc.) via phone at
(860) 977-3575.
NPI number for Mr William Fothergill is 1104924711 and his current mailing address is Po Box 1702, Hartford, Connecticut. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1104924711.
Healthcare Provider's Profile
Full Name | Mr William Fothergill |
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Gender | Male |
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Speciality | Social Worker |
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Location | 864 Wethersfield Ave, Hartford, Connecticut |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1104924711
- Provider Enumeration Date: 09/20/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Mr William Fothergill such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1104924711 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | 000533 (Connecticut) | Primary |
104100000X | Social Worker | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr William Fothergill is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mr William Fothergill, MA, MSW, LPC Po Box 1702, Hartford, CT 06144-1702 Ph: (860) 977-3575 | Mr William Fothergill, MA, MSW, LPC 864 Wethersfield Ave, Hartford, CT 06114-3184 Ph: (860) 977-3575 |
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