Jenna Marie Deluca, LADC, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

12210 Issued in CT

Practice address

605 Washington Ave
North Haven, CT 06473-1123

Phone

(203) 982-0526

NPI assigned

Aug 11, 2020

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

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.

• Project Courage, LLC

  • Addiction (Substance Use Disorder) Counselor
  • Old Saybrook, CT
  • NPI 1609750298
  NPD
• Project Courage, LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Old Saybrook, CT
  • NPI 1659716405
  NPD

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

{
    "created_epoch": "1597104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664150400000",
    "number": "1710598065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52 SHARON DR",
            "city": "EAST HAVEN",
            "state": "CT",
            "postal_code": "065121519",
            "telephone_number": "203-982-0526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 WASHINGTON AVE",
            "city": "NORTH HAVEN",
            "state": "CT",
            "postal_code": "064731123",
            "telephone_number": "203-982-0526"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "130 Elm St",
            "address_purpose": "LOCATION",
            "city": "Old Saybrook",
            "state": "CT",
            "postal_code": "064754105",
            "country_code": "US",
            "telephone_number": "860-388-9656",
            "fax_number": "860-388-9463",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DELUCA",
        "first_name": "JENNA",
        "middle_name": "MARIE",
        "credential": "LADC, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-11",
        "last_updated": "2022-09-26",
        "certification_date": "2022-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CT",
            "license": "001373",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "12210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachelle D'Angelo, APRN
• Sierra Danahey
• Melissa Danielson
• Maryanne Davidson, DNSC, APRN, CPNP
• Dianne Jean Defusco, MD
• Maura Demarco
• John Demayo, LPN
• Ralph Wayne Denatale, M.D.
• Denson Counseling Services LLC
• Rodney Denson, LADC

• Clinical Social Worker in North Haven, CT
• Providers in North Haven, 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 Sep 26, 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.