Lisa Jenny Jainchill, CAC, LADC, MSW, CCDP

Primary specialty

Social WorkerTaxonomy code 104100000X

License

25452 Issued in CT

Practice address

45 Wadsworth Street
Hartford, CT 06106

Phone

(860) 527-1124

Fax

(860) 724-2539

NPI assigned

Jan 9, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1199836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637107200000",
    "number": "1093990996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 WADSWORTH STREET",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "06106",
            "telephone_number": "860-527-1124",
            "fax_number": "860-724-2539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 WADSWORTH STREET",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "06106",
            "telephone_number": "860-527-1124",
            "fax_number": "860-724-2539"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1100 New Britain Ave Ste 102",
            "address_purpose": "LOCATION",
            "city": "West Hartford",
            "state": "CT",
            "postal_code": "061102448",
            "country_code": "US",
            "telephone_number": "860-985-5215",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JAINCHILL",
        "first_name": "LISA",
        "middle_name": "JENNY",
        "name_prefix": "Ms.",
        "credential": "CAC, LADC, MSW, CCDP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-09",
        "last_updated": "2021-11-17",
        "certification_date": "2021-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CT",
            "license": "25452",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Siobhan S Jager, RDH
• Lawrence O Jaggon, RN
• Akhilesh Kumar Jain, M.D.
• Tanya Sharma Jain, M.B.B.S.
• Varun Jain, M.D.
• Abhishek Jaiswal, MD
• Devika N. Jajoo, M.D.
• Daquan West James
• Diana James, M.D., PH.D.
• Jaime Marie James, DPM

• Social Worker in Hartford, CT
• Providers in Hartford, CT by specialty
• Social Worker in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.