Individual provider Active NPI

Janice Hilleman, L.C.S.W

  • Clinical Social Worker
  • Fairfield, CT
National Provider Identifier
1255884847
Registry record updated Aug 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
009343 Issued in CT
Practice address
203 Catherine Ter
Fairfield, CT 06824-6407
Phone
(516) 524-2166
NPI assigned
Jul 29, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 15, 2016

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 009343 CT Primary

Addresses

Primary practice location

203 Catherine Ter
Fairfield, CT 06824-6407

Mailing address

49 John St
Ste 102
Southport, CT 06890-1484
Phone (516) 524-2166

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
009343CTMDClinical Social Worker
9343CTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
New Learning Therapy Center Clinical CurrentSince Aug 1, 2016 Accepting new patients

Locations

49 John St
Ste 102
Southport, CT 06890
Phone (203) 307-3030

Organizations & group practices 1

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": "1469750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471219200000",
    "number": "1255884847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49 JOHN ST",
            "address_2": "STE 102",
            "city": "SOUTHPORT",
            "state": "CT",
            "postal_code": "068901484",
            "telephone_number": "516-524-2166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 CATHERINE TER",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068246407",
            "telephone_number": "516-524-2166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILLEMAN",
        "first_name": "JANICE",
        "name_prefix": "Mrs.",
        "credential": "L.C.S.W",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-29",
        "last_updated": "2016-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "009343",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfield, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2016; 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.