Active NPI
Jeffrey Kerekes LLC
- Clinical Social Worker
- New Haven, CT
National Provider Identifier
1255640959
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 005553
- Legal business name
- JEFFREY KEREKES LLC
- Practice address
- 43 Lyon St
New Haven, CT 06511-4925 - Phone
- (203) 676-0880
- NPI assigned
- Sep 28, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jeffrey P Kerekes, MSSW
- Title
- Managing Member
- Phone
- (203) 676-0880
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 005553 | CT | Primary |
Addresses
Primary practice location
43 Lyon St
New Haven, CT 06511-4925
Mailing address
43 Lyon St
New Haven, CT 06511-4925
Phone (203) 676-0880
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1285632000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1285632000000",
"number": "1255640959",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "43 LYON ST",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065114925",
"telephone_number": "203-676-0880"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "43 LYON ST",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065114925",
"telephone_number": "203-676-0880"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JEFFREY KEREKES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-09-28",
"last_updated": "2010-09-28",
"status": "A",
"authorized_official_last_name": "KEREKES",
"authorized_official_first_name": "JEFFREY",
"authorized_official_middle_name": "P",
"authorized_official_title_or_position": "MANAGING MEMBER",
"authorized_official_telephone_number": "203-676-0880",
"authorized_official_credential": "MSSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "CT",
"license": "005553",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Haven, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.