Active NPI
Jena Kenny
- Clinical Social Worker
- East Haven, CT
National Provider Identifier
1265900245
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 11231
- Practice address
- 64 Thompson St Ste A101
East Haven, CT 06513-5700 - Phone
- (203) 691-1685
- NPI assigned
- Nov 7, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | |||
| Clinical Social Worker | 1041C0700X | 11231 | CT | Primary |
Addresses
Primary practice location
64 Thompson St Ste A101
East Haven, CT 06513-5700
Mailing address
64 Thompson St Ste A101
East Haven, CT 06513-5700
Phone (203) 691-1685
Other names 1
- Jena Elizabeth Milardo
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
- Opted out of Medicare
- Yes, effective Jun 26, 2024 through Jun 26, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11231 | CT | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Strength & Healing LLC | Current | Accepting new patients |
Locations
5500 Military Trl
Ste 22213
Jupiter, FL 33458
Phone (203) 868-0451
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Jupiter, FL
- NPI 1245901099
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1541548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604620800000",
"number": "1265900245",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "64 THOMPSON ST STE A101",
"city": "EAST HAVEN",
"state": "CT",
"postal_code": "065135700",
"telephone_number": "203-691-1685",
"fax_number": "203-891-6763"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "64 THOMPSON ST STE A101",
"city": "EAST HAVEN",
"state": "CT",
"postal_code": "065135700",
"telephone_number": "203-691-1685"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KENNY",
"first_name": "JENA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-11-07",
"last_updated": "2020-11-06",
"certification_date": "2020-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CT",
"license": "11231",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JENA",
"last_name": "MILARDO",
"middle_name": "ELIZABETH",
"credential": "LCSW",
"code": "1",
"type": "Former Name"
}
]
}Other providers in East Haven, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.