Jennifer Kucharski Baumgold, LCSW
Individual provider Active NPI Clinical Social Worker · Darien, CT
NPI 1013144435 · NPPES record last updated Nov 23, 2016
Key facts
- NPI
- 1013144435
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 006974 (CT)
- Practice address
- 6 Thorndal Cir
Darien, CT 06820-5415 - Phone
- (646) 320-0695
- NPI assigned
- Jun 11, 2009
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 73078768 | NY | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 006974 | CT | Yes |
| Clinical Social Worker | 1041C0700X | 73078768 | NY |
Addresses
Primary practice location
6 Thorndal Cir
Darien, CT 06820-5415
Mailing address
6 Thorndal Cir
Darien, CT 06820-5415
Phone (646) 320-0695
Other providers in Darien, CT
- Lauren Bader
- Gene Balboa
- Margaret Baran
- Amanda Barlow
- Nicole Batista
- Carolyn Castle Bayly
- Shannon Gillian Bazelais
- Bellwether Wellness, LLC
- Jennifer Bendl
- Meky E Bernadel
All providers in Darien, CT · Clinical Social Worker in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 23, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.