Jessica Marie Markure, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

58.011475 Issued in CT

Practice address

250 Pomeroy Ave Ste 201D
Meriden, CT 06450-8316

Phone

(860) 940-1410

NPI assigned

May 11, 2020

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

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 and National Provider Directory roles.

• Lighting Lives Counseling LLC

  • Clinical Social Worker
  • Meriden, CT
  • NPI 1225763626
  NPD Authorized official

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

{
    "created_epoch": "1589155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657670400000",
    "number": "1164044467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 POMEROY AVE STE 201D",
            "city": "MERIDEN",
            "state": "CT",
            "postal_code": "064508316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 POMEROY AVE STE 201D",
            "city": "MERIDEN",
            "state": "CT",
            "postal_code": "064508316",
            "telephone_number": "860-940-1410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARKURE",
        "first_name": "JESSICA",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-11",
        "last_updated": "2022-07-13",
        "certification_date": "2022-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CT",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "58.011475",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Garrett Michael Manthey, PA-C
• Carol Marcantonio
• Frances M Marcantonio
• Lisa Marie Marcello, MS
• Ronald Maringola Jr., D.C.
• Colleen A Marotta, LCSW
• Alicia Marro, MFT
• Jessica M. Martin, NP
• Carolyn M Martino, RDH
• Jessica Mary

• Clinical Social Worker in Meriden, CT
• Providers in Meriden, 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 13, 2022; 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.