Jodi Milardo, MSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

1700 Issued in CT

Practice address

300 Church St Ste 105
Wallingford, CT 06492-2253

Phone

(203) 679-0849

NPI assigned

Aug 3, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Soul Friends, Inc

  • Community/Behavioral Health Agency
  • Wallingford, CT
  • NPI 1154499804
  NPD

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

{
    "created_epoch": "1659484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659484800000",
    "number": "1437886124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53 SKYLINE DR",
            "city": "EAST HAMPTON",
            "state": "CT",
            "postal_code": "064241483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 CHURCH ST STE 105",
            "city": "WALLINGFORD",
            "state": "CT",
            "postal_code": "064922253",
            "telephone_number": "203-679-0849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILARDO",
        "first_name": "JODI",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-03",
        "last_updated": "2022-08-03",
        "certification_date": "2022-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CT",
            "license": "1700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "info@soul-friends.org",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "300 Church St Ste 105",
            "city": "Wallingford",
            "state": "CT",
            "country_code": "US",
            "postal_code": "064922253",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Nicholas Metaxas, PT, DPT
• Andrew Pettay Metzger, MD
• Nicholas Joseph Mezzanotte, RPH
• Jennifer Micacci, AU.D.
• Francesca Alyssa Michel, APRN
• Kimberly Hayden Miles, APRN
• Patrick D Miller
• Angelina Minchillo, PT, DPT
• Diane Mintich, LO
• Mark Mirabella Jr., LMT

• Social Worker in Wallingford, CT
• Providers in Wallingford, CT by specialty
• Social Worker in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2022; 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.