Individual provider Active NPI

Jennifer M Spirito, LCSW

  • Clinical Social Worker
  • West Hartford, CT
National Provider Identifier
1548408610
Registry record updated Dec 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
006589 Issued in CT
Practice address
61 S Main St Ste 310
West Hartford, CT 06107-2403
Phone
(860) 628-1675
NPI assigned
Jan 28, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 29, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 006589 CT
Clinical Social Worker 1041C0700X 006589 CT Primary

Addresses

Primary practice location

61 S Main St Ste 310
West Hartford, CT 06107-2403

Mailing address

244 Town Line Rd
Bristol, CT 06010-5914
Phone (860) 628-1675

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
006589CTMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Jennifer Spirito, LCSW LLC Clinical Current Accepting new patients

Locations

61 S Main St
Ste 310
West Hartford, CT 06107
Phone (860) 325-3119

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1233100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672272000000",
    "number": "1548408610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "244 TOWN LINE RD",
            "city": "BRISTOL",
            "state": "CT",
            "postal_code": "060105914",
            "telephone_number": "860-628-1675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61 S MAIN ST STE 310",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061072403",
            "telephone_number": "860-628-1675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPIRITO",
        "first_name": "JENNIFER",
        "middle_name": "M",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-01-28",
        "last_updated": "2022-12-29",
        "certification_date": "2022-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CT",
            "license": "006589",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "006589",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Hartford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 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.