Active NPI
Jessica Marie Wisnieski
- Clinical Social Worker
- Stamford, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 60 Palmers Hill Rd
Stamford, CT 06902-2113 - Phone
- (203) 324-3167
- NPI assigned
- Jun 4, 2019
- 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 | Primary |
Addresses
Primary practice location
60 Palmers Hill Rd
Stamford, CT 06902-2113
Mailing address
71 Strawberry Hill Ave Apt 418
Stamford, CT 06902-2719
Phone (516) 776-4728
Other practice location 1
150 Glen View Ter
New Haven, CT 06515-1417
Phone (203) 770-4338
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Centers Inc | Clinical | Current | Accepting new patients |
| Palabra Counseling & Training Center LLC | Current | Accepting new patients | |
| Family Centers Inc | Current | Accepting new patients |
Locations
590 Post Rd
Darien, CT 06820
Phone (203) 655-0547
20 Bridge St
Greenwich, CT 06830
Phone (203) 629-2822
530 Middlebury Rd
Ste 206B
Middlebury, CT 06762
Phone (203) 560-7640
986 Bedford St
Stamford, CT 06905
Phone (203) 324-3167
60 Palmers Hill Rd
Stamford, CT 06902
Phone (203) 324-3167
Organizations & group practices 3
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Greenwich, CT
- NPI 1265477780
Clinical
-
- Professional Counselor
- New Haven, CT
- NPI 1649789835
-
- Federally Qualified Health Center (FQHC)
- Stamford, CT
- NPI 1841750122
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559606400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707955200000",
"number": "1801454962",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "71 STRAWBERRY HILL AVE APT 418",
"city": "STAMFORD",
"state": "CT",
"postal_code": "069022719",
"telephone_number": "516-776-4728"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "60 PALMERS HILL RD",
"city": "STAMFORD",
"state": "CT",
"postal_code": "069022113",
"telephone_number": "203-324-3167"
}
],
"practiceLocations": [
{
"address_1": "150 Glen View Ter",
"address_purpose": "LOCATION",
"city": "New Haven",
"state": "CT",
"postal_code": "065151417",
"country_code": "US",
"telephone_number": "203-770-4338",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WISNIESKI",
"first_name": "JESSICA",
"middle_name": "MARIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-06-04",
"last_updated": "2024-02-15",
"certification_date": "2024-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Stamford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.