Organization Active NPI

Jennifer Dimaio, LCSW LLC

  • Clinical Social Worker
  • Avon, CT
National Provider Identifier
1588177208
Registry record updated Nov 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
006442 Issued in CT
Legal business name
JENNIFER DIMAIO, LCSW LLC
Practice address
40 Avon Meadow LN
Avon, CT 06001-3753
Phone
(860) 416-6949
NPI assigned
Nov 16, 2017
Last updated
Nov 16, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2017

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

Authorized official

Name
Jennifer Delia Dimaio, LCSWNPI 1396292983
Title
Owner
Phone
(860) 416-6949

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 006442 CT Primary

Addresses

Primary practice location

40 Avon Meadow LN
Avon, CT 06001-3753

Mailing address

92 Lawton Rd
Canton, CT 06019-2239
Phone (860) 693-8850

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1510790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1510790400000",
    "number": "1588177208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "92 LAWTON RD",
            "city": "CANTON",
            "state": "CT",
            "postal_code": "060192239",
            "telephone_number": "860-693-8850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 AVON MEADOW LN",
            "city": "AVON",
            "state": "CT",
            "postal_code": "060013753",
            "telephone_number": "860-416-6949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIFER DIMAIO, LCSW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-16",
        "last_updated": "2017-11-16",
        "status": "A",
        "authorized_official_last_name": "DIMAIO",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "DELIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-416-6949",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "006442",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Avon, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2017; 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.