NPIMap

Organization Active NPI

Jennifer Chokas, LCSW, LLC

  • Clinical Social Worker
  • Wauregan, CT
National Provider Identifier
1144754052
Registry record updated May 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
JENNIFER CHOKAS, LCSW, LLC
Practice address
19 South Walnut St.
Wauregan, CT 06387-0530
Phone
(860) 960-0010
Fax
(860) 960-0020
NPI assigned
Apr 18, 2017
Last updated
May 21, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2020

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

Authorized official

Name
Jennifer Ann Chokas, LCSWNPI 1790081776
Title
Licensed Clinical SW/Business Owner
Phone
(860) 771-1166

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CT Primary

Addresses

Primary practice location

19 South Walnut St.
Wauregan, CT 06387-0530

Mailing address

19 South Walnut St.
PO Box 530
Wauregan, CT 06387-0530
Phone (860) 960-0010

Other identifiers 3

IdentifierTypeStateIssuer
008031277MedicaidCT
1790081776OtherCTINDIVIDUAL NPI
$$$$$$$$$OtherCTSSN

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1492473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590019200000",
    "number": "1144754052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 SOUTH WALNUT ST.",
            "address_2": "PO BOX 530",
            "city": "WAUREGAN",
            "state": "CT",
            "postal_code": "063870530",
            "telephone_number": "860-960-0010",
            "fax_number": "860-960-0020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 SOUTH WALNUT ST.",
            "city": "WAUREGAN",
            "state": "CT",
            "postal_code": "063870530",
            "telephone_number": "860-960-0010",
            "fax_number": "860-960-0020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIFER CHOKAS, LCSW, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-18",
        "last_updated": "2020-05-21",
        "status": "A",
        "authorized_official_last_name": "CHOKAS",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "LICENSED CLINICAL SW/BUSINESS OWNER",
        "authorized_official_telephone_number": "860-771-1166",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008031277",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1790081776",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SSN",
            "identifier": "$$$$$$$$$",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wauregan, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2020; 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.