Active NPI
Jennifer Callaghan, LCSW
- Clinical Social Worker
- Cos Cob, CT
National Provider Identifier
1407455223
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 10114
- Practice address
- 69 Strickland Rd
Cos Cob, CT 06807-2731 - Phone
- (347) 687-3278
- NPI assigned
- Oct 22, 2020
- Last updated
- May 16, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 103092 | NY | |
| Clinical Social Worker | 1041C0700X | 10114 | CT | Primary |
Addresses
Primary practice location
69 Strickland Rd
Cos Cob, CT 06807-2731
Mailing address
152 E Putnam Ave Unit 115
Cos Cob, CT 06807-7705
Phone (347) 687-3278
Other practice location 1
1558 Barnum Ave
Bridgeport, CT 06610-3238
Phone (203) 384-3653
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jennifer.callaghan@bpthosp.org | Direct | Bridgeport Hospital |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Apr 1, 2025 through Apr 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10114 | CT | MD | Social Worker |
| 103092 | NY | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1603324800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1652659200000",
"number": "1407455223",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "152 E PUTNAM AVE UNIT 115",
"city": "COS COB",
"state": "CT",
"postal_code": "068077705",
"telephone_number": "347-687-3278"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "69 STRICKLAND RD",
"city": "COS COB",
"state": "CT",
"postal_code": "068072731",
"telephone_number": "347-687-3278"
}
],
"practiceLocations": [
{
"address_1": "1558 Barnum Ave",
"address_purpose": "LOCATION",
"city": "Bridgeport",
"state": "CT",
"postal_code": "066103238",
"country_code": "US",
"telephone_number": "203-384-3653",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CALLAGHAN",
"first_name": "JENNIFER",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-10-22",
"last_updated": "2022-05-16",
"certification_date": "2022-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "103092",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CT",
"license": "10114",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jennifer.callaghan@bpthosp.org",
"affiliation": "Y",
"affiliationName": "Bridgeport Hospital",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "1558 Barnum Ave",
"city": "Bridgeport",
"state": "CT",
"country_code": "US",
"postal_code": "066103238",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Cos Cob, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.