Individual provider Active NPI

Jill Meyers Paknia, LCSW

  • Clinical Social Worker
  • Norwalk, CT
National Provider Identifier
1720144538
Registry record updated Oct 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
006329 Issued in CT
Practice address
91 East Ave
Norwalk, CT 06851-5020
Phone
(203) 998-5279
Fax
(866) 585-4617
NPI assigned
Dec 28, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 21, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 0417341 NY
Clinical Social Worker 1041C0700X 006329 CT Primary

Addresses

Primary practice location

91 East Ave
Norwalk, CT 06851-5020

Mailing address

202 Good Hill Rd
Weston, CT 06883-2326
Phone (203) 998-5279

Other names 1

  • Mrs. Jill Miriam Meyers Professional name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20090717000530 CT Practitioner - Clinical Social Worker 6406908631 Practice locations: Norwalk, CT; Weston, CT

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

91 E Ave
Suite 2
Norwalk, CT 06851-5020
Phone (203) 998-5279

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
006329CTMDClinical Social Worker
0417341NYMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445385600000",
    "number": "1720144538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 GOOD HILL RD",
            "city": "WESTON",
            "state": "CT",
            "postal_code": "068832326",
            "telephone_number": "203-998-5279",
            "fax_number": "866-585-4617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91 EAST AVE",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068515020",
            "telephone_number": "203-998-5279",
            "fax_number": "866-585-4617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAKNIA",
        "first_name": "JILL",
        "middle_name": "MEYERS",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-28",
        "last_updated": "2015-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "0417341",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "006329",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JILL",
            "last_name": "MEYERS",
            "middle_name": "MIRIAM",
            "prefix": "MRS.",
            "credential": "LCSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Norwalk, CT

Sources for this page

Verify at the official NPI Registry.