Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Manchester Memorial Hospital, Inc

Organization Clinical Social Worker · NPI 1295695039

Manchester Memorial Hospital, Inc is a Clinical Social Worker in Manchester, Connecticut. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
7
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

71 Haynes St
Manchester, CT 06040-4188
Phone: (860) 646-1222
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric Hospital Unit (primary) Taxonomy 273R00000X
Clinical Social Worker Taxonomy 1041C0700X
Psychiatry Physician Taxonomy 2084P0800X
Addiction Psychiatry Physician Taxonomy 2084P0802X
Child & Adolescent Psychiatry Physician Taxonomy 2084P0804X
Geriatric Psychiatry Physician Taxonomy 2084P0805X
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X

Record details

NPI number1295695039
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gerald Boisvert — Sr Vice President · (860) 263-4190
NPI enumeratedNovember 14, 2025
Last updated in NPPESApril 20, 2026
Certification dateApril 20, 2026
Mailing address1290 Silas Deane Hwy Ste 102, Wethersfield, CT 06109-4337

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