Active NPI
Jannese Lauren Webber, LCSW, LADC
- Clinical Social Worker
- Middlebury, CT
National Provider Identifier
1811260599
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 009193
- Practice address
- 20 Woodside Ave Ste a
Middlebury, CT 06762-2857 - Phone
- (203) 747-8708
- Fax
- (203) 747-8708
- NPI assigned
- Feb 11, 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 1078 | CT | |
| Clinical Social Worker | 1041C0700X | C015580 | NC | |
| Clinical Social Worker | 1041C0700X | 009193 | CT | Primary |
Addresses
Primary practice location
20 Woodside Ave Ste a
Middlebury, CT 06762-2857
Mailing address
3608 Wood Duck CT NW
Concord, NC 28027-6589
Phone (203) 747-8708
Other practice location 1
2015 Ayrsley Town Blvd Ste 202
Charlotte, NC 28273-4068
Phone (203) 747-8708
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160107001079 | CT | Practitioner - Clinical Social Worker | 0941502991 | Practice locations: Waterbury, CT |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1078 | CT | MD | Addiction (Substance Use Disorder) Counselor |
| 009193 | CT | MD | Clinical Social Worker |
| C015580 | NC | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Talk Time Therapy LLC | Clinical | Current | Accepting new patients |
Locations
20 Woodside Ave
Ste A
Middlebury, CT 06762
Phone (203) 721-8108
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.
-
- Clinical Social Worker
- Middlebury, CT
- NPI 1497498307
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1328918400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704326400000",
"number": "1811260599",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3608 WOOD DUCK CT NW",
"city": "CONCORD",
"state": "NC",
"postal_code": "280276589",
"telephone_number": "203-747-8708",
"fax_number": "203-747-8708"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 WOODSIDE AVE STE A",
"city": "MIDDLEBURY",
"state": "CT",
"postal_code": "067622857",
"telephone_number": "203-747-8708",
"fax_number": "203-747-8708"
}
],
"practiceLocations": [
{
"address_1": "2015 Ayrsley Town Blvd Ste 202",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282734068",
"country_code": "US",
"telephone_number": "203-747-8708",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WEBBER",
"first_name": "JANNESE",
"middle_name": "LAUREN",
"credential": "LCSW, LADC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-02-11",
"last_updated": "2024-01-04",
"certification_date": "2024-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CT",
"license": "1078",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "C015580",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CT",
"license": "009193",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Middlebury, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 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.