Active NPI
Jessica Sandra Morneault, MSW, LCSW
- Clinical Social Worker
- South Windsor, CT
National Provider Identifier
1265097034
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 11413
- Practice address
- 85 Felt Rd Ste 605
South Windsor, CT 06074-3871 - Phone
- (860) 539-5628
- NPI assigned
- May 7, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | LSW.0009922371 | CO | |
| Clinical Social Worker | 1041C0700X | 09926860 | CO | |
| Clinical Social Worker | 1041C0700X | 11413 | CT | Primary |
Addresses
Primary practice location
85 Felt Rd Ste 605
South Windsor, CT 06074-3871
Mailing address
503 Remington St Ste 201
Fort Collins, CO 80524-3089
Phone (970) 541-4472
Other practice location 1
700 Centre Ave
Fort Collins, CO 80526-2023
Phone (970) 494-4200
Other practice location 2
503 Remington St Ste 201
Fort Collins, CO 80524-3089
Phone (970) 541-4472
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LSW.0009922371 | CO | MD | Social Worker |
| 09926860 | CO | MD | Clinical Social Worker |
| 11413 | CT | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1557187200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617580800000",
"number": "1265097034",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "503 REMINGTON ST STE 201",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805243089",
"telephone_number": "970-541-4472"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "85 FELT RD STE 605",
"city": "SOUTH WINDSOR",
"state": "CT",
"postal_code": "060743871",
"telephone_number": "860-539-5628"
}
],
"practiceLocations": [
{
"address_1": "700 Centre Ave",
"address_purpose": "LOCATION",
"city": "Fort Collins",
"state": "CO",
"postal_code": "805262023",
"country_code": "US",
"telephone_number": "970-494-4200",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "503 Remington St Ste 201",
"address_purpose": "LOCATION",
"city": "Fort Collins",
"state": "CO",
"postal_code": "805243089",
"country_code": "US",
"telephone_number": "970-541-4472",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MORNEAULT",
"first_name": "JESSICA",
"middle_name": "SANDRA",
"credential": "MSW, LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-05-07",
"last_updated": "2021-04-05",
"certification_date": "2021-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CO",
"license": "LSW.0009922371",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CO",
"license": "09926860",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CT",
"license": "11413",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in South Windsor, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.