Individual provider Active NPI

Jennifer Ellis McNamara, LMSW

  • Clinical Social Worker
  • Norwalk, CT
National Provider Identifier
1811426596
Registry record updated Jun 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
120 East Ave Ste 2
Norwalk, CT 06851-5703
Phone
(203) 750-9711
NPI assigned
Jun 7, 2017
Last updated
Jun 7, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X NU Primary

Addresses

Primary practice location

120 East Ave Ste 2
Norwalk, CT 06851-5703

Mailing address

169 Thunder Lake Rd
Wilton, CT 06897-1336
Phone (917) 376-4024

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, SC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180124000338 CT Practitioner - Clinical Social Worker 4284993023 Reassigns benefits to 1 organization
I20251114003905 SC Practitioner - Clinical Social Worker 4284993023 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Core Counseling LLCGroup PAC ID 0446787659, 2 clinicians

Practice addresses (Care Compare)

3030 Ashley Town Ctr Dr
Suite 203B
Charleston, SC 29414-5678
Phone (843) 779-9563

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
15032SCMDFamily Medicine Physician
10051CTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Catholic Charities of Fairfield County Inc CurrentSince Jun 11, 2023 Accepting new patients
Core Counseling LLC CurrentSince Sep 1, 2025 Accepting new patients
Coastal Connecticut Counseling LLC CurrentSince Feb 2, 2019 Accepting new patients

Locations

1 Eliot Pl
#3C
Fairfield, CT 06824

120 East Ave
Ste 2
Norwalk, CT 06851
Phone (203) 750-9711

2960 Post Rd
Ste 3B2
Southport, CT 06890
Phone (203) 307-3030

3030 Ashley Town Center Dr
Ste 203B
Charleston, SC 29414
Phone (843) 735-5900

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1496793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1496793600000",
    "number": "1811426596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "169 THUNDER LAKE RD",
            "city": "WILTON",
            "state": "CT",
            "postal_code": "068971336",
            "telephone_number": "917-376-4024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 EAST AVE STE 2",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068515703",
            "telephone_number": "203-750-9711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCNAMARA",
        "first_name": "JENNIFER",
        "middle_name": "ELLIS",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-07",
        "last_updated": "2017-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwalk, CT

Sources for this page

Verify at the official NPI Registry.