Active NPI
Jana Wu, LCSW, LADC
- Clinical Social Worker
- Litchfield, CT
National Provider Identifier
1790059574
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 007809
- Practice address
- 118 South St
Litchfield, CT 06759-4006 - Phone
- (917) 626-6727
- NPI assigned
- Feb 27, 2012
- Last updated
- Feb 27, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 007809 | CT | Primary |
Addresses
Primary practice location
118 South St
Litchfield, CT 06759-4006
Mailing address
118 South St
PO Box 1737
Litchfield, CT 06759-4006
Phone (917) 626-6727
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 007809 | CT | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1330300800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1330300800000",
"number": "1790059574",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "118 SOUTH ST",
"address_2": "PO BOX 1737",
"city": "LITCHFIELD",
"state": "CT",
"postal_code": "067594006",
"telephone_number": "917-626-6727"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "118 SOUTH ST",
"city": "LITCHFIELD",
"state": "CT",
"postal_code": "067594006",
"telephone_number": "917-626-6727"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WU",
"first_name": "JANA",
"credential": "LCSW, LADC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-02-27",
"last_updated": "2012-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CT",
"license": "007809",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Litchfield, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.