Jennifer Elizabeth Brady, LCSW
Individual provider Active NPI Social Worker · Newington, CT
NPI 1497918973 · NPPES record last updated Nov 9, 2023
Key facts
- NPI
- 1497918973
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- Practice address
- 100 Market SQ
Suite 16a
Newington, CT 06111-2921 - Phone
- (860) 888-2516
- NPI assigned
- Jul 6, 2008
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
7 Park Ave
Suite 2
Colchester, CT 06415-1128
Phone (860) 888-2516
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150623002026 | CT | Practitioner - Clinical Social Worker | 0941511596 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 008089 | CT | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Azalea Counseling & Wellness, LLC | Current |
Accepting new patients |
Locations
7 Park Ave
Ste 2
Colchester, CT 06415
Phone (860) 328-2094
100 Market Sq
Ste 16A
Newington, CT 06111
Phone (860) 888-2516
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 008089 | CT | |
| Social Worker | 104100000X | Yes |
Addresses
Primary practice location
100 Market SQ
Suite 16a
Newington, CT 06111-2921
Mailing address
100 Market SQ
Suite 16a
Newington, CT 06111-2921
Phone (860) 888-2516
Other providers in Newington, CT
- Lourie C Bonsu
- Renee J Bordeau
- Bordeaux Nutrition LLC
- Jackie Bouchard
- Alice Bradford
- Eric Brais
- Karen Brecher
- Emily Breitsprecher
- Mary Gail Brock
- Talia Morgan Brown
All providers in Newington, CT · Social Worker in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 9, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.