Provider Demographics
NPI:1669585030
Name:HEKELER, REINHOLD W (MSW)
Entity type:Individual
Prefix:PROF
First Name:REINHOLD
Middle Name:W
Last Name:HEKELER
Suffix:
Gender:M
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:135 GREEN HILL LN
Mailing Address - Street 2:
Mailing Address - City:CHESHIRE
Mailing Address - State:CT
Mailing Address - Zip Code:06410-3625
Mailing Address - Country:US
Mailing Address - Phone:203-272-8933
Mailing Address - Fax:
Practice Address - Street 1:135 GREEN HILL LN
Practice Address - Street 2:
Practice Address - City:CHESHIRE
Practice Address - State:CT
Practice Address - Zip Code:06410-3625
Practice Address - Country:US
Practice Address - Phone:203-272-8933
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0000241041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT140000024CT01OtherANTHEM BLUE CROSS
CT140000024CT01OtherANTHEM BLUE CROSS