Active NPI
Jennine M. Gialopsos, LCSW, LADC
- Clinical Social Worker
- Windsor, CT
National Provider Identifier
1063500601
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 002159
- Practice address
- 32 Maple Ave
Windsor, CT 06095 - Phone
- (860) 683-2455
- Fax
- (860) 688-0004
- NPI assigned
- Oct 10, 2006
- 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 | 002159 | CT | Primary |
Addresses
Primary practice location
32 Maple Ave
Windsor, CT 06095
Mailing address
32 Maple Ave
Windsor, CT 06095-2922
Phone (860) 683-2455
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20061207000150 | CT | Practitioner - Clinical Social Worker | 0941209688 | Practice locations: Manchester, CT |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
441 S Main St
Apt 49
Manchester, CT 06040-7042
Phone (860) 683-2455
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 002159 | CT | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1063500601",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "32 MAPLE AVE",
"city": "WINDSOR",
"state": "CT",
"postal_code": "060952922",
"telephone_number": "860-683-2455",
"fax_number": "860-688-0004"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "32 MAPLE AVE",
"city": "WINDSOR",
"state": "CT",
"postal_code": "06095",
"telephone_number": "860-683-2455",
"fax_number": "860-688-0004"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIALOPSOS",
"first_name": "JENNINE",
"middle_name": "M.",
"name_prefix": "Mrs.",
"credential": "LCSW, LADC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-10",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CT",
"license": "002159",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Windsor, 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.
- 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.