Individual provider Active NPI

Julianne Cioffi-Smith, LCSW

  • Clinical Social Worker
  • Derby, CT
National Provider Identifier
1174776363
Registry record updated Oct 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
005127 Issued in CT
Practice address
30 Elizabeth St
3Rd Floor
Derby, CT 06418-1802
Phone
(203) 954-0543
Fax
(203) 954-0544
NPI assigned
Oct 31, 2008
Last updated
Oct 31, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2008

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 005127 CT Primary

Addresses

Primary practice location

30 Elizabeth St
3Rd Floor
Derby, CT 06418-1802

Mailing address

30 Elizabeth St
3Rd Floor
Derby, CT 06418-1802
Phone (203) 954-0543

Other names 1

  • Ms. Julianne Cioffi Former name

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
I20240207002091 CT Practitioner - Clinical Social Worker 0840633798 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clifford W Beers Guidance Clinic IncGroup PAC ID 1951771054, 14 clinicians

Practice addresses (Care Compare)

93 Edwards St
New Haven, CT 06511-3933
Phone (203) 772-1270

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
005127CTMDClinical Social Worker
5127CTMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Clifford W. Beers Guidance Clinic Inc Clinical CurrentSince Dec 11, 2023 Accepting new patients
Lower Naugatuck Valley Parent Child Resource Center, Inc. Past Accepting new patients

Locations

41 Marne St
Hamden, CT 06514
Phone (203) 691-9383

93 Edwards St
New Haven, CT 06511
Phone (203) 772-1270

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1225411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225411200000",
    "number": "1174776363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 ELIZABETH ST",
            "address_2": "3RD FLOOR",
            "city": "DERBY",
            "state": "CT",
            "postal_code": "064181802",
            "telephone_number": "203-954-0543",
            "fax_number": "203-954-0544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 ELIZABETH ST",
            "address_2": "3RD FLOOR",
            "city": "DERBY",
            "state": "CT",
            "postal_code": "064181802",
            "telephone_number": "203-954-0543",
            "fax_number": "203-954-0544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CIOFFI-SMITH",
        "first_name": "JULIANNE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-31",
        "last_updated": "2008-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "005127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JULIANNE",
            "last_name": "CIOFFI",
            "prefix": "MS.",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Derby, CT

Sources for this page

Verify at the official NPI Registry.