Individual provider Active NPI

Geralyn Jones, LCSW

  • Clinical Social Worker
  • New London, CT
National Provider Identifier
1861167801
Registry record updated Dec 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
12997 Issued in CT
Practice address
516 Vauxhall St Ste 101
New London, CT 06320-2609
Phone
(860) 333-0243
NPI assigned
Aug 11, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 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 12997 CT Primary

Addresses

Primary practice location

516 Vauxhall St Ste 101
New London, CT 06320-2609

Mailing address

12 Giovanni Dr
Waterford, CT 06385-1725
Phone (860) 501-9852

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
I20230605000618 CT Practitioner - Clinical Social Worker 6800253048 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Child and Family Agency of Southeastern Connecticut, Inc. CurrentSince May 23, 2023 Accepting new patients
Divine Mind Therapy Clinical CurrentSince Jul 22, 2025 Accepting new patients
Child and Family Agency of Southeastern Connecticut, Inc. CurrentSince May 23, 2023 Accepting new patients

Locations

591 Poquonnock Rd
Groton, CT 06340
Phone (860) 449-8217

516 Vauxhall St
Ste 101
New London, CT 06320
Phone (860) 333-0243

7 Vauxhall St
New London, CT 06320
Phone (860) 442-2797

163 Boston Post Rd
Ste 24
Waterford, CT 06385

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1628640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767052800000",
    "number": "1861167801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 GIOVANNI DR",
            "city": "WATERFORD",
            "state": "CT",
            "postal_code": "063851725",
            "telephone_number": "860-501-9852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 VAUXHALL ST STE 101",
            "city": "NEW LONDON",
            "state": "CT",
            "postal_code": "063202609",
            "telephone_number": "860-333-0243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "GERALYN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-11",
        "last_updated": "2025-12-30",
        "certification_date": "2025-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "12997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New London, CT

Sources for this page

Verify at the official NPI Registry.