Individual provider Active NPI

Christa Jacaruso, LCSW

  • Clinical Social Worker
  • Milford, CT
National Provider Identifier
1851319412
Registry record updated May 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
005929 Issued in CT
Practice address
99 Cherry St Ste D
Milford, CT 06460-3455
Phone
(203) 859-2001
Fax
(203) 283-7857
NPI assigned
Jul 18, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 30, 2025

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 005929 CT Primary

Addresses

Primary practice location

99 Cherry St Ste D
Milford, CT 06460-3455

Mailing address

99 Cherry St Ste D
Milford, CT 06460-3455
Phone (203) 859-1026

Other identifiers 1

IdentifierTypeStateIssuer
004039244MedicaidCT

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050630001057 CT Practitioner - Clinical Social Worker 8820034762 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

99 Cherry St
Suite D
Milford, CT 06460-3455
Phone (203) 859-1026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5929CTMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Oracle Counseling & Wellness Clinical CurrentSince Apr 13, 2022 Accepting new patients
State of Connecticut PastSince Apr 16, 2005 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748563200000",
    "number": "1851319412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 CHERRY ST STE D",
            "city": "MILFORD",
            "state": "CT",
            "postal_code": "064603455",
            "telephone_number": "203-859-1026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 CHERRY ST STE D",
            "city": "MILFORD",
            "state": "CT",
            "postal_code": "064603455",
            "telephone_number": "203-859-2001",
            "fax_number": "203-283-7857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACARUSO",
        "first_name": "CHRISTA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-18",
        "last_updated": "2025-05-30",
        "certification_date": "2025-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "005929",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004039244",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Milford, CT

Sources for this page

Verify at the official NPI Registry.