Active NPI
Ana Cristina Jardim Messenger, LCSW
- Clinical Social Worker
- Southport, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 011782
- Practice address
- 2960 Post Rd FL 3
Southport, CT 06890-1268 - Phone
- (203) 307-3030
- NPI assigned
- Jun 18, 2022
- Last updated
- Jun 18, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 | 011782 | CT | Primary |
Addresses
Primary practice location
2960 Post Rd FL 3
Southport, CT 06890-1268
Mailing address
30 Hyde LN
Westport, CT 06880-3916
Phone (203) 450-5206
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ana.jardim@coastalconnecticutcounseling.com | Direct | Coastal Connecticut Counseling LLC |
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
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2011
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2960 Post Rd
Suite 3B2
Southport, CT 06890-1268
Phone (203) 307-3030
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 011782 | CT | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Knowing Clarity LLC | Clinical | Current | Accepting new patients |
| Coastal Connecticut Counseling LLC | Current | Accepting new patients |
Locations
1 Eliot Pl
#3C
Fairfield, CT 06824
1 Eliot Pl
Ste 3
Fairfield, CT 06824
14 Westport Ave
Norwalk, CT 06851
Phone (203) 497-3867
2960 Post Rd
Ste 3B2
Southport, CT 06890
Phone (203) 307-3030
Interoperability endpoints
- ana.jardim@coastalconnecticutcounseling.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Marriage & Family Therapist
- Southport, CT
- NPI 1982076014
-
- Clinical Social Worker
- Norwalk, CT
- NPI 1659213031
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1655510400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1655510400000",
"number": "1013648393",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 HYDE LN",
"city": "WESTPORT",
"state": "CT",
"postal_code": "068803916",
"telephone_number": "203-450-5206"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2960 POST RD FL 3",
"city": "SOUTHPORT",
"state": "CT",
"postal_code": "068901268",
"telephone_number": "203-307-3030"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MESSENGER",
"first_name": "ANA",
"middle_name": "CRISTINA JARDIM",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-06-18",
"last_updated": "2022-06-18",
"certification_date": "2022-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CT",
"license": "011782",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ana.jardim@coastalconnecticutcounseling.com",
"affiliation": "Y",
"endpointDescription": "professional email address",
"affiliationName": "Coastal Connecticut Counseling LLC",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "direct email",
"address_1": "2960 Post Rd Fl 3",
"city": "Southport",
"state": "CT",
"country_code": "US",
"postal_code": "068901268",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Southport, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2022; 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.