Individual provider Active NPI

Jennifer Marie Benoit, LCSW

  • Clinical Social Worker
  • East Haven, CT
National Provider Identifier
1306148499
Registry record updated Jan 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
8391 Issued in CT
Practice address
30 Main St FL 1
East Haven, CT 06512-2506
Phone
(203) 764-0272
Fax
(203) 891-5976
NPI assigned
Nov 23, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X
Clinical Social Worker 1041C0700X 8391 CT Primary

Addresses

Primary practice location

30 Main St FL 1
East Haven, CT 06512-2506

Mailing address

30 Main St FL 1
East Haven, CT 06512-2506
Phone (203) 764-0272

Other identifiers 1

IdentifierTypeStateIssuer
004235918MedicaidCT

Other names 1

  • Jennifer Marie Brennan Former name

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
I20141210000334 CT Practitioner - Clinical Social Worker 4183850746 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2011
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

30 Main St
FL 1
East Haven, CT 06512-2506
Phone (203) 891-5649

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8391CTMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Renewed Hope Clinical Services, LLC Clinical CurrentSince Apr 3, 2016 Accepting new patients
Yale New Haven Hospital CurrentSince Mar 19, 2009 Accepting new patients

Locations

30 Main St
#1
East Haven, CT 06512
Phone (203) 927-5130

20 York St
North Haven, CT 06510
Phone (203) 688-2433

Organizations & group practices 2

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": "1290470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768953600000",
    "number": "1306148499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 MAIN ST FL 1",
            "city": "EAST HAVEN",
            "state": "CT",
            "postal_code": "065122506",
            "telephone_number": "203-764-0272",
            "fax_number": "203-891-5976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 MAIN ST FL 1",
            "city": "EAST HAVEN",
            "state": "CT",
            "postal_code": "065122506",
            "telephone_number": "203-764-0272",
            "fax_number": "203-891-5976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENOIT",
        "first_name": "JENNIFER",
        "middle_name": "MARIE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-23",
        "last_updated": "2026-01-21",
        "certification_date": "2026-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "8391",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004235918",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "BRENNAN",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in East Haven, CT

Sources for this page

Verify at the official NPI Registry.