Jessica Gail Siegel, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

12889 Issued in CT

Practice address

840 Post Rd E
Westport, CT 06880-5236

Phone

(203) 828-0868

Fax

(203) 822-7624

NPI assigned

Apr 6, 2023

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 names 1

• Mrs. Jessica Gail Taxman Former name

Medicare fee-for-service enrollment

Enrolled in CT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Jewish Family Services of Greenwich Inc

  • Clinical Social Worker
  • Greenwich, CT
  • NPI 1740450543
  Medicare reassignment NPD

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

{
    "created_epoch": "1680739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680739200000",
    "number": "1639864713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "840 POST RD E",
            "city": "WESTPORT",
            "state": "CT",
            "postal_code": "068805236",
            "telephone_number": "203-828-0868",
            "fax_number": "203-822-7624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 POST RD E",
            "city": "WESTPORT",
            "state": "CT",
            "postal_code": "068805236",
            "telephone_number": "203-828-0868",
            "fax_number": "203-822-7624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIEGEL",
        "first_name": "JESSICA",
        "middle_name": "GAIL",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-06",
        "last_updated": "2023-04-06",
        "certification_date": "2023-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "12889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "TAXMAN",
            "middle_name": "GAIL",
            "prefix": "MRS.",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Shoreline Integrative Pharmacy LLC
• Shoreline Therapy Center of Southwest CT LLC
• Shreya Patel OD, PC
• Kenneth Hillel Shubin Stein, M.D.
• Robban Ariel Sica, M.D.
• Cesar A Sierra, MD
• Melissa Rennia Signorile, LPC
• Stefania Anna Sigurdsson
• Chamonix Sikora, M.S., CCC-SLP, BCS-F
• Christine Silva

• Clinical Social Worker in Westport, CT
• Providers in Westport, 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 Apr 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.