Jennifer Timreck, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

008279 Issued in CT

Practice address

1680 Albany Ave
Hartford, CT 06105-1001

Phone

(860) 647-1076

NPI assigned

Dec 14, 2011

Sex

Female

Sole proprietor

No

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

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

{
    "created_epoch": "1323820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464048000000",
    "number": "1699044016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1680 ALBANY AVE",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061051001",
            "telephone_number": "860-643-1076",
            "fax_number": "860-647-1101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1680 ALBANY AVE",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061051001",
            "telephone_number": "860-647-1076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIMRECK",
        "first_name": "JENNIFER",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-14",
        "last_updated": "2016-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "008279",
            "primary": true
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristy Tyler Thurston, M.D.
• Matthew Brent Tichauer, M.D.
• Leslie Tien, MS, PA-C
• Caitlin R Tilbe, PHYSICIAN ASSISTANT
• Tyler Timpone, PA-C
• Angie Tinio
• Rachel Tirnady, PH.D.
• Joanne Tischer, PA
• Nicole Tittarelli, PA
• Tommy To, MD

• Clinical Social Worker in Hartford, CT
• Providers in Hartford, 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 May 24, 2016; 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.