Jeffrey Klomberg, L.C.S.W.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

003883 Issued in CT

Practice address

47 Long Lots Road
Westport, CT 06880-3800

Phone

(203) 221-8801

NPI assigned

Nov 8, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1497825749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 LONE PINE LN",
            "city": "WESTPORT",
            "state": "CT",
            "postal_code": "068802539",
            "telephone_number": "203-226-5378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47 LONG LOTS ROAD",
            "city": "WESTPORT",
            "state": "CT",
            "postal_code": "068803800",
            "telephone_number": "203-221-8801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLOMBERG",
        "first_name": "JEFFREY",
        "credential": "L.C.S.W.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "003883",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adrienne Klein
• Martin Harold Klein, PH.D.
• Norman R. Klein, PH.D.
• Rhonda Quain Klein, MD
• Marina Klimova, LMFT
• Laila Imad Knio, MD
• Debra L Koenig, M.A.
• Masha Kogan, DDS
• Lauren Jean Kopal, RN
• Kristina Erica Kops, PSY.D.

• Clinical Social Worker in Westport, CT
• Providers in Westport, CT by specialty
• Clinical Social Worker in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.