JENNIFER SMITH, LCSW LLC (NPI# 1023532819) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023532819 |
| Entity Type | Organization |
| Organization Name | JENNIFER SMITH, LCSW LLC |
| Practice Address |
65 S Colony St Wallingford CT 06492-4150 |
| Mailing Address |
83 High Hill Rd Wallingford CT 06492-1903 |
| Practice Telephone | 8605810215 |
| Enumeration Date | 2017-08-02 |
| Last Update Date | 2017-08-02 |
| Authorized Official Name | JENNIFER SMITH (LCSW) |
| Authorized Official Telephone | 8605810215 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 008057515 | 05 |
| Street Address |
65 S COLONY ST |
| City | WALLINGFORD |
| State | CT |
| Zip Code | 06492-4150 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972898575 | Beth A Friess | Social Worker | 65 S Colony St, Wallingford, CT 06492-4150 | 2011-06-13 |
| 1255846457 | Evolve Counseling & Consultationllc | Counselor | 65 S Colony St, Wallingford, CT 06492-4150 | 2017-12-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891310215 | The Promptcare Companies, Inc. | Durable Medical Equipment & Medical Supplies | 101 Noth Plains Industrial Park, Suite B Building 2 Harvest Park, Wallingford, CT 06492 | 2020-06-11 |
| 1528692480 | Hilary Caitlin Sullivan | Nurse Practitioner | Park Avenue Medical, LLC, 85 Barnes Road, Suite 202, Wallingford, CT 06492 | 2020-02-28 |
| 1902370943 | Alicia Anne Eldridge | Student in an Organized Health Care Education/Training Program | 88 Cheshire Road, Wallingford, CT 06492 | 2019-01-13 |
| 1114409562 | Doreen Gail Barile | Pharmacist | 846 North Colony Road, Wallingford, CT 06492 | 2018-09-02 |
| 1942782354 | Brad Becker | Pharmacist | 846 North Colony Rd, Walingford, CT 06492 | 2018-08-31 |
| 1477041564 | Melissa A Fazzolari | Nurse Practitioner | 850 N Main Street Ext Ste B, Wallingford, CT 06492 | 2018-04-25 |
| 1992235857 | Karen Ann Meers | Behavioral Analyst | 29 North Plains Highway, Unit 15, Wallingford, CT 06492 | 2017-06-14 |
| 1992232698 | Chelsea Clements | Occupational Therapist | 87 Southwind Dr, Wallingford, CT 06492 | 2017-05-12 |
| 1659822369 | Sara Frawley | Naturopath | 850 N. Main Street Extention, Building 2 Suite 3c, Wallingford, CT 06492 | 2016-10-18 |
| 1083085518 | Energetic Spine Chiropractic | Chiropractor | 1271 South Broad St., Unit #11, Wallingford, CT 06492 | 2015-10-09 |
| Find all providers in zip 06492 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467967752 | Monarch Therapeutic Services LLC | Clinic/Center | 850 N Main Street Ext, Wallingford, CT 06492-2400 | 2017-12-07 |
| 1083927164 | Visiting Nurse Association of Wallingford, Inc. | Clinic/Center | 135 N Plains Industrial Rd, Wallingford, CT 06492-2332 | 2010-07-19 |
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|---|---|---|---|---|
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| 1760093108 | Intuitive Healing Counseling LLC | Clinic/Center | 95 Armory Rd Ste 2, Stratford, CT 06614-1753 | 2020-08-10 |
| 1750992244 | Connecting The Pieces, LLC | Clinic/Center | 151 New Park Ave Unit 27, Hartford, CT 06106-2181 | 2020-08-10 |
| 1063021228 | Clear Sky Therapy Services | Clinic/Center | 68 Lyman Rd, West Hartford, CT 06117-1311 | 2020-07-23 |
| 1104453562 | Empower Therapy & Wellness LLC | Clinic/Center | 786 Boston Post Rd # 203, Madison, CT 06443-3036 | 2020-03-25 |
| 1386279453 | Pathways To Wellness, LLC | Clinic/Center | 74 Sheldon Ter, New Haven, CT 06511-2006 | 2020-03-09 |
| 1053945196 | Farley Counseling Services | Clinic/Center | 29b Hartford Ave, Granby, CT 06035-2326 | 2020-02-27 |
| 1922630557 | Starfish Family Connections, LLC | Clinic/Center | 1367 Hanover Ave Apt 602, Meriden, CT 06451-6278 | 2020-02-11 |
| Find all providers with the same taxonomy | ||||
| City | WALLINGFORD |
| Zip Code | 06492 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.