NPIMap

Organization Active NPI

Jennifer Blair, L.C.S.W., LLC

  • Clinical Social Worker
  • Sandy Hook, CT
National Provider Identifier
1336688944
Registry record updated Feb 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
005972 Issued in CT
Legal business name
JENNIFER BLAIR, L.C.S.W., LLC
Practice address
107 Church Hill Rd
Sandy Hook, CT 06482-1194
Phone
(203) 592-9843
NPI assigned
Feb 15, 2017
Last updated
Feb 15, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2017

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

Authorized official

Name
Jennifer Blair, LCSWNPI 1427234459
Title
Social Worker
Phone
(203) 592-9843

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 005972 CT Primary

Addresses

Primary practice location

107 Church Hill Rd
Sandy Hook, CT 06482-1194

Mailing address

34 Woodside Ave
Seymour, CT 06483-2714

National Provider Directory

National Provider Directory

Locations

107 Church Hill Rd
Sandy Hook, CT 06482
Phone (203) 592-9843

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1487116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487116800000",
    "number": "1336688944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 WOODSIDE AVE",
            "city": "SEYMOUR",
            "state": "CT",
            "postal_code": "064832714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 CHURCH HILL RD",
            "city": "SANDY HOOK",
            "state": "CT",
            "postal_code": "064821194",
            "telephone_number": "203-592-9843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIFER BLAIR, L.C.S.W., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-15",
        "last_updated": "2017-02-15",
        "status": "A",
        "authorized_official_last_name": "BLAIR",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "SOCIAL WORKER",
        "authorized_official_telephone_number": "203-592-9843",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "005972",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandy Hook, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2017; 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.