Jennifer Marie Brubacher, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

16111 Issued in CT

Practice address

530 Middletown Ave
North Haven, CT 06473-4024

Phone

(203) 430-3344

NPI assigned

Jul 22, 2022

Last updated

Jan 10, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Enrolled in CT

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 1

Specialty

Clinical Social Worker

Education

Other, 2022

Medicare assignment

May accept Medicare assignment

Group practices

Michelle M Reynolds PHD LLCGroup PAC ID 6507266780, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

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

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.

• Michelle M Reynolds, PHD, LLC

  dba LifeCatalyst

  • Clinical Psychologist
  • Madison, CT
  • NPI 1467037143
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1658448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768003200000",
    "number": "1811622830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 MIDDLETOWN AVE",
            "city": "NORTH HAVEN",
            "state": "CT",
            "postal_code": "064734024",
            "telephone_number": "203-430-3344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 MIDDLETOWN AVE",
            "city": "NORTH HAVEN",
            "state": "CT",
            "postal_code": "064734024",
            "telephone_number": "203-430-3344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUBACHER",
        "first_name": "JENNIFER",
        "middle_name": "MARIE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-22",
        "last_updated": "2026-01-10",
        "certification_date": "2026-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "16111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Broadway Medical Group, LLC
• Bria Bromell Holeman, LMSW
• Jeremiah Brown
• Nichole Brown, DNP
• Sabrina L. Browning, M.D.
• Alyson Buck, PA-C
• Jane Buckley, APRN
• Michele Lynn Bullock, NCC, LPC, BC-TMH
• Kristin Amanda Burke
• Nina Frances Burkhardt, PA

• Clinical Social Worker in North Haven, CT
• Providers in North Haven, 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 Jan 10, 2026; 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.

Verify at the official NPI Registry.