Individual provider Active NPI

Jennifer Lynn Hrbek, MSW, LCSW

  • Clinical Social Worker
  • Westport, CT
National Provider Identifier
1245761154
Registry record updated Aug 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
9934 Issued in CT
Practice address
179 Post Rd W
Westport, CT 06880-4602
Phone
(203) 450-4882
NPI assigned
Mar 22, 2017
Last updated
Aug 9, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 9, 2022

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 9934 CT Primary

Addresses

Primary practice location

179 Post Rd W
Westport, CT 06880-4602

Mailing address

179 Post Rd W
Westport, CT 06880-4602
Phone (203) 450-4882

Other names 1

  • Jennifer Lynn Soffayer 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
I20181101002295 CT Practitioner - Clinical Social Worker 8022361427 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2012
Medicare assignment
May accept Medicare assignment
Group practices
Meditox Care, LLCGroup PAC ID 9830535723, 5 clinicians

Practice addresses (Care Compare)

179 Post Rd W
Westport, CT 06880-4602
Phone (203) 450-4882

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Meditox Care, LLC CurrentSince Feb 5, 2024 Accepting new patients
Personal Growth Concepts, Inc. Clinical PastSince Jan 24, 2018 Accepting new patients

Locations

179 Post Rd W
Westport, CT 06880
Phone (203) 247-0530

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": "1490140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660003200000",
    "number": "1245761154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "179 POST RD W",
            "city": "WESTPORT",
            "state": "CT",
            "postal_code": "068804602",
            "telephone_number": "203-450-4882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "179 POST RD W",
            "city": "WESTPORT",
            "state": "CT",
            "postal_code": "068804602",
            "telephone_number": "203-450-4882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HRBEK",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-22",
        "last_updated": "2022-08-09",
        "certification_date": "2022-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "9934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "SOFFAYER",
            "middle_name": "LYNN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Westport, CT

Sources for this page

Verify at the official NPI Registry.