Active NPI
Jennifer Ellis McNamara, LMSW
- Clinical Social Worker
- Norwalk, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 120 East Ave Ste 2
Norwalk, CT 06851-5703 - Phone
- (203) 750-9711
- NPI assigned
- Jun 7, 2017
- Last updated
- Jun 7, 2017
- 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 | 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, SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 15032 | SC | MD | Family Medicine Physician |
| 10051 | CT | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Catholic Charities of Fairfield County Inc | Current | Accepting new patients | |
| Core Counseling LLC | Current | Accepting new patients | |
| Coastal Connecticut Counseling LLC | Current | 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.
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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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2017; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.