Active NPI
Jessica Vetrano Wolf, LCSW
- Psychologist
- Southington, CT
National Provider Identifier
1861584393
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 004717
- Practice address
- 41 Old Turnpike Rd
Southington, CT 06489 - Phone
- (860) 276-9295
- Fax
- (860) 276-9295
- NPI assigned
- Sep 29, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 004717 | CT | Primary |
| Clinical Social Worker | 1041C0700X | 004717 | CT |
Addresses
Primary practice location
41 Old Turnpike Rd
Southington, CT 06489
Mailing address
14 Sparrow Lane
Unionville, CT 06085
Phone (860) 673-5146
Other names 1
- Ms. Jessica Vetrano
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 004717 | CT | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159488000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1861584393",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14 SPARROW LANE",
"city": "UNIONVILLE",
"state": "CT",
"postal_code": "06085",
"telephone_number": "860-673-5146",
"fax_number": "860-276-9296"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "41 OLD TURNPIKE RD",
"city": "SOUTHINGTON",
"state": "CT",
"postal_code": "06489",
"telephone_number": "860-276-9295",
"fax_number": "860-276-9295"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOLF",
"first_name": "JESSICA",
"middle_name": "VETRANO",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-29",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CT",
"license": "004717",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CT",
"license": "004717",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JESSICA",
"last_name": "VETRANO",
"prefix": "MS.",
"credential": "LCSW",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Southington, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.