NPIMap

Organization Active NPI

Jaime Bliss Guilmette, LCSW, LLC

  • Clinical Social Worker
  • Cromwell, CT
National Provider Identifier
1336697200
Registry record updated Sep 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
006582 Issued in CT
Legal business name
JAIME BLISS GUILMETTE, LCSW, LLC
Practice address
80 Shunpike Rd
Suite 207
Cromwell, CT 06416-4401
Phone
(860) 798-4963
Fax
(860) 852-5904
NPI assigned
Sep 20, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2016

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

Authorized official

Name
Mrs. Jaime Bliss Guilmette, LCSWNPI 1346420452
Title
Owner
Phone
(860) 798-4963

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 006582 CT Primary

Addresses

Primary practice location

80 Shunpike Rd
Suite 207
Cromwell, CT 06416-4401

Mailing address

80 Shunpike Rd
Suite 207
Cromwell, CT 06416-4401
Phone (860) 798-4963

Other identifiers 2

IdentifierTypeStateIssuer
004272316MedicaidCT
1346420452OtherCTNPI

National Provider Directory

National Provider Directory

Locations

80 Shunpike Rd
Unit 207
Cromwell, CT 06416
Phone (860) 798-4963

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1474329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474329600000",
    "number": "1336697200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 SHUNPIKE RD",
            "address_2": "SUITE 207",
            "city": "CROMWELL",
            "state": "CT",
            "postal_code": "064164401",
            "telephone_number": "860-798-4963",
            "fax_number": "860-852-5904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 SHUNPIKE RD",
            "address_2": "SUITE 207",
            "city": "CROMWELL",
            "state": "CT",
            "postal_code": "064164401",
            "telephone_number": "860-798-4963",
            "fax_number": "860-852-5904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAIME BLISS GUILMETTE, LCSW, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-20",
        "last_updated": "2016-09-20",
        "status": "A",
        "authorized_official_last_name": "GUILMETTE",
        "authorized_official_first_name": "JAIME",
        "authorized_official_middle_name": "BLISS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-798-4963",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "006582",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004272316",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1346420452",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cromwell, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2016; 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.