Active NPI
Jayne M Noel, LCSW
- Clinical Social Worker
- Enfield, CT
National Provider Identifier
1790835478
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 004253
- Practice address
- 95 Raffia Road
Kidz Matter LLC Suite # 2
Enfield, CT 06082 - Phone
- (860) 749-9298
- Fax
- (860) 749-9298
- NPI assigned
- Jan 12, 2007
- 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 | 004253 | CT | Primary |
Addresses
Primary practice location
95 Raffia Road
Kidz Matter LLC Suite # 2
Enfield, CT 06082
Mailing address
95 Raffia Road
Suite # 2
Enfield, CT 06082
Phone (860) 623-4523
Other names 1
- Miss Jayne M Webber
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 |
|---|---|---|---|
| 004253 | CT | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kidz Matter LLC | Clinical | Past | Accepting new patients |
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": "1168560000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1790835478",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "95 RAFFIA ROAD",
"address_2": "SUITE # 2",
"city": "ENFIELD",
"state": "CT",
"postal_code": "06082",
"telephone_number": "860-623-4523",
"fax_number": "860-749-9298"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "95 RAFFIA ROAD",
"address_2": "KIDZ MATTER LLC SUITE # 2",
"city": "ENFIELD",
"state": "CT",
"postal_code": "06082",
"telephone_number": "860-749-9298",
"fax_number": "860-749-9298"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOEL",
"first_name": "JAYNE",
"middle_name": "M",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CT",
"license": "004253",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JAYNE",
"last_name": "WEBBER",
"middle_name": "M",
"prefix": "MISS",
"credential": "BS",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Enfield, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.