Individual provider Active NPI

Jennifer V. Pyrch, M.S.W,, L.C.S.W.

  • Clinical Social Worker
  • Manchester, CT
National Provider Identifier
1881830032
Registry record updated Dec 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
006794 Issued in CT
Practice address
192 Hartford Rd
Manchester, CT 06040-5923
Phone
(860) 281-4395
NPI assigned
Dec 18, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 18, 2008

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 006794 CT Primary

Addresses

Primary practice location

192 Hartford Rd
Manchester, CT 06040-5923

Mailing address

21 Woolam Rd
East Windsor, CT 06088-9723
Phone (860) 281-4395

Other identifiers 1

IdentifierTypeStateIssuer
006794OtherCTSTATE OF CT LICENSE 006794, VALIDATION # 03-683870

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

LicenseStateTypeSpecialty
006794CTMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1229558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1229558400000",
    "number": "1881830032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 WOOLAM RD",
            "city": "EAST WINDSOR",
            "state": "CT",
            "postal_code": "060889723",
            "telephone_number": "860-281-4395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "192 HARTFORD RD",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "060405923",
            "telephone_number": "860-281-4395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PYRCH",
        "first_name": "JENNIFER",
        "middle_name": "V.",
        "name_prefix": "Mrs.",
        "credential": "M.S.W,, L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-12-18",
        "last_updated": "2008-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "006794",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF CT LICENSE 006794, VALIDATION # 03-683870",
            "identifier": "006794",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Manchester, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2008; 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.