Active NPI
Jessica Wolber, MSW
- Clinical Social Worker
- Groton, CT
National Provider Identifier
1790092716
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 008888
- Practice address
- 10 Fort Hill Rd Unit 1
Groton, CT 06340-4723 - Phone
- (860) 207-5575
- Fax
- (860) 415-8385
- NPI assigned
- Sep 13, 2010
- Sex
- Female
- Sole proprietor
- No
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 | 008888 | CT | Primary |
Addresses
Primary practice location
10 Fort Hill Rd Unit 1
Groton, CT 06340-4723
Mailing address
10 Fort Hill Rd Unit 1
Groton, CT 06340-4723
Phone (860) 207-5575
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004083309 | Medicaid | CT |
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1284336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786665600000",
"number": "1790092716",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 FORT HILL RD UNIT 1",
"city": "GROTON",
"state": "CT",
"postal_code": "063404723",
"telephone_number": "860-207-5575",
"fax_number": "860-415-8385"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 FORT HILL RD UNIT 1",
"city": "GROTON",
"state": "CT",
"postal_code": "063404723",
"telephone_number": "860-207-5575",
"fax_number": "860-415-8385"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOLBER",
"first_name": "JESSICA",
"credential": "MSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-09-13",
"last_updated": "2026-08-14",
"certification_date": "2026-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CT",
"license": "008888",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "004083309",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Groton, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.