Active NPI
Luis Jaramillo, LCSW
- Clinical Social Worker
- Cheshire, CT
National Provider Identifier
1245600451
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 9210
- Practice address
- 396 S Main St
Suite 2D
Cheshire, CT 06410-1372 - Phone
- (860) 922-1219
- NPI assigned
- Sep 30, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 9210 | CT | Primary |
Addresses
Primary practice location
396 S Main St
Suite 2D
Cheshire, CT 06410-1372
Mailing address
1564 Waterbury Rd
Cheshire, CT 06410-1331
Phone (860) 922-1219
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
21 Waterville Rd
Avon, CT 06001-2097
Phone (860) 284-0182
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9210 | CT | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Harvest Healthcare LLC | Clinical | Current | Accepting new patients |
| Luis Jaramillo | Clinical | Past | Accepting new patients |
Locations
21 Waterville Rd
Avon, CT 06001
Phone (860) 284-0182
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 and National Provider Directory roles.
-
- Clinical Social Worker
- Avon, CT
- NPI 1477712917
-
- Clinical Social Worker
- Cheshire, CT
- NPI 1023485463
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1443571200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1443571200000",
"number": "1245600451",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1564 WATERBURY RD",
"city": "CHESHIRE",
"state": "CT",
"postal_code": "064101331",
"telephone_number": "860-922-1219"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "396 S MAIN ST",
"address_2": "SUITE 2D",
"city": "CHESHIRE",
"state": "CT",
"postal_code": "064101372",
"telephone_number": "860-922-1219"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JARAMILLO",
"first_name": "LUIS",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-09-30",
"last_updated": "2015-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CT",
"license": "9210",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cheshire, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2015; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.