Jennifer V Lusa, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

004754 Issued in CT

Practice address

78 Eastern Blvd Ste 2
Glastonbury, CT 06033-4325

Phone

(860) 652-0428

Fax

(860) 652-0081

NPI assigned

Jun 12, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Transitions: a Counseling Center for Individuals and Families, LLC

  • Marriage & Family Therapist
  • Glastonbury, CT
  • NPI 1598856791

  Clinical

  NPD (past)
• Comprehensive Heatlh Services, LLC

  • Community/Behavioral Health Agency
  • Chelmsford, MA
  • NPI 1659400802

  Clinical

  NPD (past)

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668211200000",
    "number": "1629010913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "78 EASTERN BLVD STE 2",
            "city": "GLASTONBURY",
            "state": "CT",
            "postal_code": "060334325",
            "telephone_number": "860-652-0428",
            "fax_number": "860-652-0081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "78 EASTERN BLVD STE 2",
            "city": "GLASTONBURY",
            "state": "CT",
            "postal_code": "060334325",
            "telephone_number": "860-652-0428",
            "fax_number": "860-652-0081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUSA",
        "first_name": "JENNIFER",
        "middle_name": "V",
        "name_prefix": "Dr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-12",
        "last_updated": "2022-11-12",
        "certification_date": "2022-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "004754",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LCSW CT LICENSE #",
            "identifier": "004754",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Asheika Antoinette Lopez
• Laure Louis-Charles, APRN
• Penny Ann Lowenstein, MD
• Lumen Counseling and Psychology Group LLC
• Sharri L Lungarini
• M and M Industries, LLC
• Kyle Macdonald, PT
• Allison Joy Mackay, DPT
• Julie Macneil, M.D.
• Monique Kealani Madden, PTA

• Clinical Social Worker in Glastonbury, CT
• Providers in Glastonbury, CT by specialty
• Clinical Social Worker in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 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.