Jennifer Jewel Jenkins, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

9994 Issued in CT

Practice address

1055 Stillson Rd
Fairfield, CT 06824-3017

Phone

(917) 952-2469

NPI assigned

Jun 1, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Interoperability endpoints

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

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

{
    "created_epoch": "1717200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717200000000",
    "number": "1801637202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1055 STILLSON RD",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068243017",
            "telephone_number": "917-952-2469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1055 STILLSON RD",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068243017",
            "telephone_number": "917-952-2469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENKINS",
        "first_name": "JENNIFER",
        "middle_name": "JEWEL",
        "name_prefix": "Mrs.",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-06-01",
        "last_updated": "2024-06-01",
        "certification_date": "2024-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "9994",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jamie Goodman, MSW, LLC
• Lauren Jankauskas, OT
• Jaquelyn Taylor, LCSW, PLLC
• John Derek Jarecki, P.T.
• Shreya Jayasimha, OD
• Ericka Jenks, LMSW
• Jennifer L. Fusaro, M.S., CCC, LLC
• Jennifer Slack, LMFT
• Ijeoma Ann Jennings, RPH
• Ashley Jerry, RDN

• Clinical Social Worker in Fairfield, CT
• Providers in Fairfield, CT by specialty
• Clinical Social Worker in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.