Organization Active NPI

Jennifer Rodgers, LCSW, LLC

  • Clinical Social Worker
  • Branford, CT
National Provider Identifier
1194087437
Registry record updated Jun 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
007360 Issued in CT
Legal business name
JENNIFER RODGERS, LCSW, LLC
Practice address
1090 Main St
Branford, CT 06405-3716
Phone
(203) 533-1215
NPI assigned
Jun 12, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2012

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

Authorized official

Name
Jennifer Rodgers, LCSW
Title
Owner
Phone
(203) 533-1215

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 007360 CT Primary

Addresses

Primary practice location

1090 Main St
Branford, CT 06405-3716

Mailing address

81 Sylvan Hills Rd
Guilford, CT 06437-3222
Phone (203) 747-4748

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1339459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339459200000",
    "number": "1194087437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "81 SYLVAN HILLS RD",
            "city": "GUILFORD",
            "state": "CT",
            "postal_code": "064373222",
            "telephone_number": "203-747-4748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1090 MAIN ST",
            "city": "BRANFORD",
            "state": "CT",
            "postal_code": "064053716",
            "telephone_number": "203-533-1215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIFER RODGERS, LCSW, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-12",
        "last_updated": "2012-06-12",
        "status": "A",
        "authorized_official_last_name": "RODGERS",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-533-1215",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "007360",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Branford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2012; 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.