Individual provider Active NPI

Jennifer Dawn Guarino

  • Clinical Social Worker
  • Shelton, CT
National Provider Identifier
1114029469
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
476 Howe Ave Ste 4
Shelton, CT 06484-3153
Phone
(203) 924-9426
NPI assigned
Sep 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

476 Howe Ave Ste 4
Shelton, CT 06484-3153

Mailing address

57 N Mead Farm Rd
Seymour, CT 06483-2467
Phone (203) 623-8793

Other practice location 1

203 High St
Milford, CT 06460-3250
Phone (203) 874-6270

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171229000514 CT Practitioner - Clinical Social Worker 9032477765 Reassigns benefits to 2 organizations
Practice locations: Shelton, CT

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Fordham University School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Stokes Counseling Services LLCGroup PAC ID 9638504202, 43 clinicians
Sycamore Counseling Services LLCGroup PAC ID 8729577838, 15 clinicians

Practice addresses (Care Compare)

16 Hillside Ave
Naugatuck, CT 06770-4019
Phone (203) 729-0341

17 Westerman Ave
Seymour, CT 06483-3330
Phone (203) 590-7569

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7858CTMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Stokes Counseling Services LLC Clinical CurrentSince Feb 15, 2024 Accepting new patients
Sycamore Counseling Services LLC Clinical CurrentSince Oct 30, 2025 Accepting new patients
Catholic Charities, Inc. - Archdiocese of Hartford PastSince Oct 1, 2015 Accepting new patients

Locations

16 Hillside Ave
Naugatuck, CT 06770
Phone (203) 729-0341

17 Westerman Ave
Seymour, CT 06483
Phone (203) 590-7569

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/ccaoh/r4/

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1157414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1114029469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57 N MEAD FARM RD",
            "city": "SEYMOUR",
            "state": "CT",
            "postal_code": "064832467",
            "telephone_number": "203-623-8793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "476 HOWE AVE STE 4",
            "city": "SHELTON",
            "state": "CT",
            "postal_code": "064843153",
            "telephone_number": "203-924-9426"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "203 High St",
            "address_purpose": "LOCATION",
            "city": "Milford",
            "state": "CT",
            "postal_code": "064603250",
            "country_code": "US",
            "telephone_number": "203-874-6270",
            "fax_number": "203-874-3301",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUARINO",
        "first_name": "JENNIFER",
        "middle_name": "DAWN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-05",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelton, CT

Sources for this page

Verify at the official NPI Registry.