Active NPI
Jennifer Giordano, LCSW
- Clinical Social Worker
- Waterbury, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 005310
- Practice address
- 55 West Main Street
Western Connecticut Mental Health Network Suite 410
Waterbury, CT 06702 - Phone
- (203) 805-6408
- Fax
- (203) 805-6432
- NPI assigned
- Nov 3, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 005310 | CT | Primary |
Addresses
Primary practice location
55 West Main Street
Western Connecticut Mental Health Network Suite 410
Waterbury, CT 06702
Mailing address
55 West Main Street
Western Connecticut Mental Health Network Suite 410
Waterbury, CT 06702
Phone (203) 805-6408
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 005310 | CT | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| State of Connecticut | Current | Accepting new patients | |
| State of Connecticut | Current | Accepting new patients |
Locations
450 Columbus Blvd
Ste 1001
Hartford, CT 06103
55 W Main St
Ste 410
Waterbury, CT 06702
Phone (203) 805-6408
95 Thomaston Ave
Waterbury, CT 06702
Phone (203) 805-5300
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Adult Mental Health Clinic/Center
- Waterbury, CT
- NPI 1841225489
-
- Skilled Nursing Facility
- Rocky Hill, CT
- NPI 1205951662
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162512000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1003995986",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "55 WEST MAIN STREET",
"address_2": "WESTERN CONNECTICUT MENTAL HEALTH NETWORK SUITE 410",
"city": "WATERBURY",
"state": "CT",
"postal_code": "06702",
"telephone_number": "203-805-6408",
"fax_number": "203-805-6432"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 WEST MAIN STREET",
"address_2": "WESTERN CONNECTICUT MENTAL HEALTH NETWORK SUITE 410",
"city": "WATERBURY",
"state": "CT",
"postal_code": "06702",
"telephone_number": "203-805-6408",
"fax_number": "203-805-6432"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIORDANO",
"first_name": "JENNIFER",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CT",
"license": "005310",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Waterbury, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.