Jara J Messere, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

006609 Issued in CT

Practice address

267 Willimantic Rd
Suite 5
Chaplin, CT 06235-2516

Phone

(860) 617-1089

NPI assigned

Jul 17, 2007

Last updated

Nov 30, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Authentic Balance Consortium LLC

  • Professional Counselor
  • Chaplin, CT
  • NPI 1538347349

  Clinical

  NPD (past)

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

{
    "created_epoch": "1184630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196380800000",
    "number": "1639378953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "267 WILLIMANTIC RD",
            "city": "CHAPLIN",
            "state": "CT",
            "postal_code": "062352516",
            "telephone_number": "860-617-1089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "267 WILLIMANTIC RD",
            "address_2": "SUITE 5",
            "city": "CHAPLIN",
            "state": "CT",
            "postal_code": "062352516",
            "telephone_number": "860-617-1089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MESSERE",
        "first_name": "JARA",
        "middle_name": "J",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-17",
        "last_updated": "2007-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "006609",
            "primary": true
        },
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "CT",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bert Dennis Gunn
• Interior Castle Counseling, LLC
• Joyce M Johnson, MSW
• Carl Warren Lindquist, M.D.
• Michael Louis Luongo, LPC, LMHC
• Michael Luongo, LPC, LLC
• Sophie Philbrick, LPC-A
• David Raczkowski, COTA
• Regional District 11
• Hayley Tiller-Albert, LCSW

• Clinical Social Worker in Chaplin, CT
• Providers in Chaplin, 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 30, 2007; 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.