Jeffrey George Luddy, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

005886 Issued in CT

Practice address

55 W Main St Ste 410
Waterbury, CT 06702-5524

Phone

(203) 805-6400

Fax

(203) 805-6432

NPI assigned

Nov 18, 2005

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Waterbury Hospital

  • General Acute Care Hospital
  • Waterbury, CT
  • NPI 1184615114
  NPD (past)

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

{
    "created_epoch": "1132272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1881676336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 NANCY MAE AVE",
            "city": "PROSPECT",
            "state": "CT",
            "postal_code": "067121719",
            "telephone_number": "203-527-9648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 W MAIN ST STE 410",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067025524",
            "telephone_number": "203-805-6400",
            "fax_number": "203-805-6432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUDDY",
        "first_name": "JEFFREY",
        "middle_name": "GEORGE",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "005886",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cordelle Andario Luces
• Jenna Marie Lucian
• Luciano D. Marini, DMD LLC
• Natalie Luciano, MSW INTERN
• Melinda Dasilva Lucke
• Awilda Altagracia Lugo Mendez, APRN
• Sky Anya Lukenberg, BSW
• Johnny Lum, PA-C
• Venetia Natasha Lush, B.S.
• Logan Stephen Lussier, RN

• Clinical Social Worker in Waterbury, CT
• Providers in Waterbury, 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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.