Individual provider Active NPI

Jennifer McBride, LCSW

  • Clinical Social Worker
  • Norwalk, CT
National Provider Identifier
1174649974
Registry record updated Jun 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
8253 Issued in CT
Practice address
9 Mott Ave
Norwalk, CT 06850-3330
Phone
(203) 523-5711
NPI assigned
Mar 22, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2014

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 8253 CT Primary

Addresses

Primary practice location

9 Mott Ave
Norwalk, CT 06850-3330

Mailing address

9 Mott Ave
Norwalk, CT 06850-3330
Phone (203) 523-5711

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
I20170322001611 CT Practitioner - Clinical Social Worker 7517242118 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Family and Children'S Agency IncGroup PAC ID 4688658594, 8 clinicians

Practice addresses (Care Compare)

9 Mott Ave
FL 4
Norwalk, CT 06850-3330
Phone (203) 831-6301

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8253CTMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Family & Children'S Agency, Inc. CurrentSince Mar 7, 2017 Accepting new patients

Locations

9 Mott Ave
Norwalk, CT 06850
Phone (203) 855-8765

9 Mott Ave
Fl 4
Norwalk, CT 06850
Phone (203) 831-6301

Organizations & group practices 1

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": "1174521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403568000000",
    "number": "1174649974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 MOTT AVE",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068503330",
            "telephone_number": "203-523-5711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 MOTT AVE",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068503330",
            "telephone_number": "203-523-5711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCBRIDE",
        "first_name": "JENNIFER",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-22",
        "last_updated": "2014-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "8253",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwalk, CT

Sources for this page

Verify at the official NPI Registry.