Active NPI
Jessica Lima, LCSW
- Clinical Social Worker
- Ridgefield, CT
National Provider Identifier
1275911695
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 8882
- Practice address
- 158 Danbury Rd
Ridgefield, CT 06877-3227 - Phone
- (203) 260-5769
- NPI assigned
- May 18, 2015
- Last updated
- Jul 28, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 8882 | CT | Primary |
Addresses
Primary practice location
158 Danbury Rd
Ridgefield, CT 06877-3227
Mailing address
3 Patmar Dr
Monroe, CT 06468-1531
Phone (203) 260-5769
Other practice location 1
20 Bridge St
Greenwich, CT 06830-5238
Phone (203) 629-2822
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1431907200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1627430400000",
"number": "1275911695",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 PATMAR DR",
"city": "MONROE",
"state": "CT",
"postal_code": "064681531",
"telephone_number": "203-260-5769"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "158 DANBURY RD",
"city": "RIDGEFIELD",
"state": "CT",
"postal_code": "068773227",
"telephone_number": "203-260-5769"
}
],
"practiceLocations": [
{
"address_1": "20 Bridge St",
"address_purpose": "LOCATION",
"city": "Greenwich",
"state": "CT",
"postal_code": "068305238",
"country_code": "US",
"telephone_number": "203-629-2822",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LIMA",
"first_name": "JESSICA",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-05-18",
"last_updated": "2021-07-28",
"certification_date": "2021-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CT",
"license": "8882",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ridgefield, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 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.