Jennifer Reid, LCSW
Individual provider Active NPI Clinical Social Worker · New Milford, CT
NPI 1568094894 · NPPES record last updated Aug 24, 2022
Key facts
- NPI
- 1568094894
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- Practice address
- 1 McKayla Dr
New Milford, CT 06776-4666 - Phone
- (860) 960-4470
- NPI assigned
- Feb 5, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Connecticut Renaissance, Inc.
Practice addresses (Care Compare)
4 Byington PL
Norwalk, CT 06850-3309
Phone (203) 866-2541
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 |
|---|---|---|---|---|
| I20220908003068 | CT | Practitioner - Clinical Social Worker | 8325422488 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Connecticut Renaissance, Inc. | Current | Accepting new patients | |
| Connecticut Renaissance, Inc. | Current |
Accepting new patients | |
| Revive, Rejuvenate, Renew, LLC | Current |
Accepting new patients | |
| Northpoint Psychiatric Consultants LLC | Current |
Accepting new patients | |
| Connecticut Renaissance, Inc | Past | Accepting new patients |
Locations
1126 Main St
Bridgeport, CT 06604
Phone (203) 331-1503
363 Main St
Ste 412413
Middletown, CT 06457
Phone (860) 799-1626
4 Byington Pl
Norwalk, CT 06850
Phone 20333652252108
1 Waterview Dr
Ste 202
Shelton, CT 06484
Phone (203) 336-5225
525 Wolcott St
Waterbury, CT 06705
Phone (203) 568-6190
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 010515 | CT | |
| Clinical Social Worker | 1041C0700X | Yes |
Addresses
Primary practice location
1 McKayla Dr
New Milford, CT 06776-4666
Mailing address
1 McKayla Dr
New Milford, CT 06776-4666
Phone (860) 960-4470
Other providers in New Milford, CT
- Rancourt Counseling, LLC
- Christopher Rancourt
- Randolph C. Kinkade
- Antonio Reale
- Reflective Moments Therapy LLC
- Emily Renna
- Heather Nicole Repko-Moses
- Revive, Rejuvenate, Renew, LLC
- Sherry Reyes
- Sophia Stephanie Rickevicius
All providers in New Milford, CT · Clinical 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 Aug 24, 2022. 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.