Individual provider Active NPI

Jennifer Zichichi, LCSW

  • Clinical Social Worker
  • Oxford, CT
National Provider Identifier
1366037889
Registry record updated Mar 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
10771 Issued in CT
Practice address
436 Quaker Farms Rd
Oxford, CT 06478-1307
Phone
(201) 615-4706
NPI assigned
Mar 5, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 10771 CT Primary

Addresses

Primary practice location

436 Quaker Farms Rd
Oxford, CT 06478-1307

Mailing address

436 Quaker Farms Rd
Oxford, CT 06478-1307
Phone (201) 615-4706

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
I20210713002987 CT Practitioner - Clinical Social Worker 7911309984 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Prospect CT Medical Foundation, Inc. Clinical CurrentSince Mar 10, 2025 Accepting new patients
Hartford Healthcare Medical Group Specialists, PLLC CurrentSince Jul 19, 2021 Accepting new patients
Hartford Healthcare Medical Group Specialists LLC CurrentSince Jul 19, 2021 Accepting new patients

Locations

1801 W Olympic Blvd
#2201
Pasadena, CA 91199

2800 Main St
Bridgeport, CT 06606
Phone (203) 386-0366

18 Haynes St
Uppr
Manchester, CT 06040
Phone (860) 649-7557

1244 Storrs Rd
Storrs Mansfield, CT 06268
Phone (860) 724-2579

64 Robbins St
Waterbury, CT 06708
Phone (203) 573-7142

1290 Silas Deane Hwy
Wethersfield, CT 06109
Phone (860) 972-6977

Organizations & group practices 3

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": "1614902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773360000000",
    "number": "1366037889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "436 QUAKER FARMS RD",
            "city": "OXFORD",
            "state": "CT",
            "postal_code": "064781307",
            "telephone_number": "201-615-4706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "436 QUAKER FARMS RD",
            "city": "OXFORD",
            "state": "CT",
            "postal_code": "064781307",
            "telephone_number": "201-615-4706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZICHICHI",
        "first_name": "JENNIFER",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-05",
        "last_updated": "2026-03-13",
        "certification_date": "2026-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "10771",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oxford, CT

Sources for this page

Verify at the official NPI Registry.