Jenifer L Gietek LCSW LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

008070 Issued in CT

Legal business name

JENIFER L GIETEK LCSW LLC

Practice address

891 Main Street
2ND Floor Office D
South Glastonbury, CT 06073

Phone

(860) 508-6633

NPI assigned

Mar 19, 2014

Last updated

Mar 19, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jenifer Lee Gietek, LCSWNPI 1821332115

Title

Owner

Phone

(860) 508-6633

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Locations

Practitioners 2

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.

• Jenifer L Gietek, LCSW

  • Clinical Social Worker
  • Tolland, CT
  • NPI 1821332115
  Medicare reassignment NPD Authorized official
• Angela Stachowiak

  • Counselor
  • Plainville, CT
  • NPI 1598216889
  NPD (past)

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

{
    "created_epoch": "1395187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395187200000",
    "number": "1689091308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 128",
            "city": "TOLLAND",
            "state": "CT",
            "postal_code": "060840128",
            "telephone_number": "860-508-6633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "891 MAIN STREET",
            "address_2": "2ND FLOOR OFFICE D",
            "city": "SOUTH GLASTONBURY",
            "state": "CT",
            "postal_code": "06073",
            "telephone_number": "860-508-6633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENIFER L GIETEK LCSW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-19",
        "last_updated": "2014-03-19",
        "status": "A",
        "authorized_official_last_name": "GIETEK",
        "authorized_official_first_name": "JENIFER",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-508-6633",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CT",
            "license": "008070",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacki Goldstein, M.D.
• Janis W Henderson
• Robert S. Henderson
• Steven F Hinchey, D.M.D.
• Melissa Ann Hodgson, PSYD
• Anna Katarzyna Klosinska-Salazar, MA CCC-SLP
• Darlene Marie Mahoney, MS, PT
• Philip Arnold Manaker, M.D., M.P.H
• Maynard Laurier Marquis Jr., M.D.
• Abbe Miller, MS, ATR-BC, LPC

• Community/Behavioral Health Agency in South Glastonbury, CT
• Providers in South Glastonbury, CT by specialty
• Community/Behavioral Health Agency in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.