Jeffrey Gagliardi, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

10694 Issued in CT

Practice address

5 Dover CT
Cheshire, CT 06410-2849

Phone

(203) 379-8400

NPI assigned

Aug 10, 2019

Last updated

Jul 12, 2021By the provider in NPPES

Sex

Male

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

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Thrive Counseling LLC

  • Clinical Social Worker
  • Meriden, CT
  • NPI 1780230367
  NPD Authorized official
• Arrive Counseling LCSW PLLC

  • Adult Mental Health Clinic/Center
  • New York, NY
  • NPI 1427762392
  NPD Authorized official
• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  Clinical

  NPD

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

{
    "created_epoch": "1565395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626048000000",
    "number": "1144876723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 DOVER CT",
            "city": "CHESHIRE",
            "state": "CT",
            "postal_code": "064102849",
            "telephone_number": "203-379-8400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 DOVER CT",
            "city": "CHESHIRE",
            "state": "CT",
            "postal_code": "064102849",
            "telephone_number": "203-379-8400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "155 W 83rd St Apt 114",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100245080",
            "country_code": "US",
            "telephone_number": "203-379-8400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GAGLIARDI",
        "first_name": "JEFFREY",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-08-10",
        "last_updated": "2021-07-12",
        "certification_date": "2021-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "091416",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "10694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fun 2B Free LLC
• Madeleine Fusco
• Christopher Gackenheimer, LCSW
• Brianna Marie Gaetano
• Kimberly Ann Gagliano, RPH
• Julia Michelle Gaiser, RDN
• Tanya Gajdosik, SPEECH THERAPIST
• Summer Galecki, APRN
• Nicole A Galiette, DC
• Jillian Faye Gallagher, RN

• Clinical Social Worker in Cheshire, CT
• Providers in Cheshire, CT by specialty
• Clinical Social Worker in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.