Individual provider Active NPI

Stephanie Jenkins, MSW; LCSW

  • Clinical Social Worker
  • Naugatuck, CT
National Provider Identifier
1538480892
Registry record updated Oct 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
006335 Issued in CT
Practice address
150 Cliff St
Naugatuck, CT 06770-3948
Phone
(203) 996-2563
NPI assigned
Jun 21, 2010
Last updated
Oct 1, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 1, 2019

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 006335 CT Primary

Addresses

Primary practice location

150 Cliff St
Naugatuck, CT 06770-3948

Mailing address

150 Cliff St
Naugatuck, CT 06770-3948
Phone (203) 996-2563

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
I20240117003359 CT Practitioner - Clinical Social Worker 3173975992 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sycamore Counseling Services LLCGroup PAC ID 8729577838, 15 clinicians

Practice addresses (Care Compare)

17 Westerman Ave
Seymour, CT 06483-3330
Phone (203) 590-7569

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
006335CTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Stokes Counseling Services LLC Clinical CurrentSince Dec 10, 2023 Accepting new patients
Sycamore Counseling Services LLC Clinical CurrentSince Jun 1, 2025 Accepting new patients

Locations

16 Hillside Ave
Naugatuck, CT 06770
Phone (203) 729-0341

17 Westerman Ave
Seymour, CT 06483
Phone (203) 590-7569

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1277078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569888000000",
    "number": "1538480892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 CLIFF ST",
            "city": "NAUGATUCK",
            "state": "CT",
            "postal_code": "067703948",
            "telephone_number": "203-996-2563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 CLIFF ST",
            "city": "NAUGATUCK",
            "state": "CT",
            "postal_code": "067703948",
            "telephone_number": "203-996-2563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENKINS",
        "first_name": "STEPHANIE",
        "name_prefix": "Miss",
        "credential": "MSW; LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-21",
        "last_updated": "2019-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "006335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naugatuck, CT

Sources for this page

Verify at the official NPI Registry.