JACLYN GAMBINO (NPI# 1104196559) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104196559 |
| Entity Type | Individual |
| Full Name | JACLYN GAMBINO |
| Practice Address |
15 Teachers Dr Norwich CT 06360-4029 |
| Mailing Address |
255 Hempstead St New London CT 06320-6204 |
| Practice Telephone | 8608231151 |
| Enumeration Date | 2012-01-03 |
| Last Update Date | 2012-01-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041S0200X |
Social Worker Specialization: School |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548516461 | Jaclyn Marie Gambino | Specialist | 300 Garden City Plz, Garden City, NY 11530-3302 | 2012-07-29 |
| Street Address |
15 TEACHERS DR |
| City | NORWICH |
| State | CT |
| Zip Code | 06360-4029 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164498341 | Leslie Lapointe | Registered Nurse | 15 Teachers Dr, Norwich, CT 06360-4029 | 2006-02-27 |
| 1194749598 | Child & Family Agency of Southeastern Ct., Inc | Clinic/Center | 15 Teachers Dr, Norwich, CT 06360-4029 | 2006-07-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003417452 | Mafe Duyan Rato | Nurse Practitioner | 624 W West Main St, St 140, Norwich, CT 06360 | 2020-11-03 |
| 1255961561 | Holly M. Renstrom | Driver | 17 Annadell Rd, Norwich, CT 06360 | 2020-01-26 |
| 1609335397 | Chanel Justice | Social Worker | 2 Clinic Drive, Outpatient Clinic for Children, Norwich, CT 06360 | 2019-03-13 |
| 1457700189 | Michelle Pressler | Pharmacist | 634 West Main St, Norwich, CT 06360 | 2016-06-03 |
| 1265895726 | Katie Johnson | Social Worker | 18 Oneco Street, Norwich, CT 06360 | 2016-04-01 |
| 1871956623 | Lori Deslandes-paz | Pharmacist | 372 West Main Street, Norwich, CT 06360 | 2016-03-30 |
| 1336526193 | Keep An Open Mind, LLC | Marriage & Family Therapist | 12 Cass Street, Suite 202, Norwich, DC 06360 | 2015-04-30 |
| 1588084446 | Kinneri Kothari | Ophthalmology | 79 Wawecus St Ste 105, Norwich, CT 06360 | 2014-04-18 |
| 1962746537 | Robin B Smith | Social Worker | 401 W. Thames St, Bldg 301, Southeastern Mental Health Authority, Norwich, CT 06360 | 2012-11-20 |
| 1063766400 | Colleen Ellen Phillips-white | Social Worker | 401 West Thames St, Bldg 301, Southeastern Mental Health Authority, Norwich, CT 06360 | 2012-11-07 |
| Find all providers in zip 06360 | ||||
| Taxonomy Code | 1041S0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023487782 | Anthnoy Mccabe Jr. | Social Worker | 6678 County Road 32, Norwich, NY 13815-3554 | 2015-09-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033681648 | Emily Pappas Boone | Social Worker | 65 Barry Pl, Suffield, CT 06078-2250 | 2018-12-20 |
| 1831566983 | Gary Cesca | Social Worker | 45 North School St, Manchester Public Schools, Manchester, CT 06040 | 2015-08-25 |
| 1881977692 | Erin Forler | Social Worker | 51 Toms Rd, Stamford, CT 06906-1022 | 2011-09-28 |
| 1275837684 | Nicole Marie Lewoc | Social Worker | 31 Village Ln, Wallingford, CT 06492-2426 | 2010-12-28 |
| 1164620274 | Regina Childers | Social Worker | 790 Grand Ave, New Haven, CT 06511-4941 | 2007-07-10 |
| 1770705410 | Ann Macgregor Sullivan | Social Worker | 20 Steele Rd, New Hartford, CT 06057-2612 | 2007-05-03 |
| 1235740762 | Alyson Marie Humphrey | Social Worker | 225 N Main St, Bristol, CT 06010-4926 | 2020-08-10 |
| 1447733803 | Kyli Marshall Jones | Social Worker | 5 Barnes Industrial Rd S, Wallingford, CT 06492-2431 | 2018-09-12 |
| 1770031924 | Olivia Simon | Social Worker | 896 Asylum Ave, Hartford, CT 06105-1901 | 2016-09-16 |
| 1396124699 | Helene Ramirez | Social Worker | 45 Wadsworth St, Hartford, CT 06106-7108 | 2015-05-20 |
| Find all providers with the same taxonomy | ||||
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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.