Jacqueline Texidor, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

009928 Issued in CT

Practice address

34 Barker Rd
New Milford, CT 06776-4902

Phone

(203) 240-1662

NPI assigned

Nov 20, 2007

Last updated

Apr 11, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Stars of Love and Light

  • Social Worker
  • Bethel, CT
  • NPI 1588283378

  Single Specialty

  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1195516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586563200000",
    "number": "1013198894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 BARKER RD",
            "city": "NEW MILFORD",
            "state": "CT",
            "postal_code": "067764902",
            "telephone_number": "203-240-1662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 BARKER RD",
            "city": "NEW MILFORD",
            "state": "CT",
            "postal_code": "067764902",
            "telephone_number": "203-240-1662"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "125 Greenwood Ave Ph 2nd",
            "address_purpose": "LOCATION",
            "city": "Bethel",
            "state": "CT",
            "postal_code": "068012586",
            "country_code": "US",
            "telephone_number": "203-240-1662",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TEXIDOR",
        "first_name": "JACQUELINE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-20",
        "last_updated": "2020-04-11",
        "certification_date": "2020-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "009928",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patrick Joseph Tannone, RPH
• Karen V Tarbell, MD
• Ginger Taylor, A.P.R.N
• Kelly Eileen Teagle, D.O.
• Jonathan Terman, PHYSICAL THERAPIST
• Puneet Thakur
• The Stop & Shop Supermarket Company LLC (Stop and Shop Pharmacy #683)
• Stephanie Teresa Tiso, M.D.
• Jane Reynolds Todorski, LMFT
• Michelle Lyn Tolbert

• Clinical Social Worker in New Milford, CT
• Providers in New Milford, CT by specialty
• Clinical Social Worker in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2020; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.