Individual provider Active NPI

Jaclyn Marie Semmeles, MSW, LCSW

  • Clinical Social Worker
  • Norwalk, CT
National Provider Identifier
1255809802
Registry record updated Nov 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
58.009705 Issued in CT
Practice address
24 Stevens St
Norwalk, CT 06850
Phone
(203) 852-2292
Fax
(203) 899-5206
NPI assigned
Nov 12, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 20, 2023

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 58.009705 CT Primary

Addresses

Primary practice location

24 Stevens St
Norwalk, CT 06850

Mailing address

1 E Hayestown Rd Unit 7
Danbury, CT 06811-2501
Phone (203) 723-3588

Other practice location 1

1 E Hayestown Rd Unit 7
Danbury, CT 06811-2501
Phone (203) 723-3588

Other practice location 2

38A Grove St Ste 101
Ridgefield, CT 06877-4664
Phone (203) 896-8888

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
I20191223002005 CT Practitioner - Clinical Social Worker 5395179451 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emh Family Services PCGroup PAC ID 9931561982, 27 clinicians

Practice addresses (Care Compare)

38 A Grove St
Suite 101
Ridgefield, CT 06877-4664
Phone (203) 689-8989

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
58.009705CTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Danbury Hospital Current Accepting new patients
Danbury Hospital CurrentSince Mar 16, 2020 Accepting new patients
Emh Family Services PC CurrentSince Jan 1, 2024 Accepting new patients
Counseling Services of Danbury LLC Clinical CurrentSince Oct 15, 2023 Accepting new patients
Stokes Counseling Services LLC Clinical CurrentSince Dec 1, 2023 Accepting new patients

Locations

24 Hospital Ave
Danbury, CT 06810
Phone (203) 739-7118

20 Germantown Rd
Danbury, CT 06810
Phone (203) 739-4820

55 Walls Dr
Ste 206
Fairfield, CT 06824
Phone (203) 635-5776

16 Hillside Ave
Naugatuck, CT 06770
Phone (203) 729-0341

38A Grove St
Ste 101
Ridgefield, CT 06877
Phone (203) 896-8888

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1541980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700438400000",
    "number": "1255809802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 E HAYESTOWN RD UNIT 7",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068112501",
            "telephone_number": "203-723-3588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 STEVENS ST",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "06850",
            "telephone_number": "203-852-2292",
            "fax_number": "203-899-5206"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 E Hayestown Rd Unit 7",
            "address_purpose": "LOCATION",
            "city": "Danbury",
            "state": "CT",
            "postal_code": "068112501",
            "country_code": "US",
            "telephone_number": "203-723-3588",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "38A Grove St Ste 101",
            "address_purpose": "LOCATION",
            "city": "Ridgefield",
            "state": "CT",
            "postal_code": "068774664",
            "country_code": "US",
            "telephone_number": "203-896-8888",
            "fax_number": "203-403-9550",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SEMMELES",
        "first_name": "JACLYN",
        "middle_name": "MARIE",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-11-12",
        "last_updated": "2023-11-20",
        "certification_date": "2023-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "58.009705",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwalk, CT

Sources for this page

Verify at the official NPI Registry.