Active NPI
Jennifer Julieth Hernandez Espinoza, LCSW
- Clinical Social Worker
- Bridgeport, CT
National Provider Identifier
1053194563
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 15574
- Practice address
- 2400 Main St
Bridgeport, CT 06606-5323 - Phone
- (475) 210-4403
- Fax
- (203) 362-2463
- NPI assigned
- Aug 17, 2023
- Last updated
- May 14, 2026
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 8457 | CT | |
| Social Worker | 104100000X | 119975 | NY | |
| Clinical Social Worker | 1041C0700X | 15574 | CT | Primary |
Addresses
Primary practice location
2400 Main St
Bridgeport, CT 06606-5323
Mailing address
1290 Silas Deane Hwy
Wethersfield, CT 06109-4337
Phone (914) 413-2441
Other practice location 1
1 Lois St
Norwalk, CT 06851-4404
Phone (475) 210-4403
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, 2023
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1290 Silas Deane Hwy
Wethersfield, CT 06109
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 119975 | NY | MD | Social Worker |
| 15574 | CT | MD | Clinical Social Worker |
| 8457 | CT | MD | Psychiatric/Mental Health Nurse Practitioner |
Organizations & group practices 1
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1692230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778716800000",
"number": "1053194563",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1290 SILAS DEANE HWY",
"city": "WETHERSFIELD",
"state": "CT",
"postal_code": "061094337",
"telephone_number": "914-413-2441",
"fax_number": "203-362-2463"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2400 MAIN ST",
"city": "BRIDGEPORT",
"state": "CT",
"postal_code": "066065323",
"telephone_number": "475-210-4403",
"fax_number": "203-362-2463"
}
],
"practiceLocations": [
{
"address_1": "1 Lois St",
"address_purpose": "LOCATION",
"city": "Norwalk",
"state": "CT",
"postal_code": "068514404",
"country_code": "US",
"telephone_number": "475-210-4403",
"fax_number": "203-362-2463",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HERNANDEZ ESPINOZA",
"first_name": "JENNIFER",
"middle_name": "JULIETH",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-08-17",
"last_updated": "2026-05-14",
"certification_date": "2026-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CT",
"license": "8457",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "119975",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CT",
"license": "15574",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bridgeport, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2026; 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.