Individual provider Active NPI

Jennifer Elana Lassman

  • Clinical Social Worker
  • Hartford, CT
National Provider Identifier
1720577646
Registry record updated Jul 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
15478 Issued in CT
Practice address
20 Front St Apt 505
Hartford, CT 06103
Phone
(203) 988-4189
NPI assigned
May 7, 2018
Reactivated
Sep 5, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X
Mental Health Counselor 101YM0800X
Clinical Social Worker 1041C0700X 15478 CT Primary

Addresses

Primary practice location

20 Front St Apt 505
Hartford, CT 06103

Mailing address

20 Front St Apt 505
Hartford, CT 06103-2851
Phone (203) 988-4189

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
I20250725001672 CT Practitioner - Clinical Social Worker 0244747293 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Town of Branford Clinical CurrentSince Jun 1, 2025 Accepting new patients

Locations

342 Harbor St
Branford, CT 06405
Phone (203) 481-4248

Interoperability endpoints

  • Direct secure messaging: jennifer.lassman.p1@direct.wheelerclinic.nextgenshare.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1525651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753228800000",
    "number": "1720577646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 FRONT ST APT 505",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061032851",
            "telephone_number": "203-988-4189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 FRONT ST APT 505",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "06103",
            "telephone_number": "203-988-4189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LASSMAN",
        "first_name": "JENNIFER",
        "middle_name": "ELANA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-07",
        "last_updated": "2025-07-23",
        "certification_date": "2025-07-23",
        "deactivation_date": "2018-05-08",
        "reactivation_date": "2018-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "15478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hartford, CT

Sources for this page

Verify at the official NPI Registry.