Janessa Elise Bodzon, LCSW
Individual provider Active NPI Clinical Social Worker · Bristol, CT
NPI 1891067641 · NPPES record last updated Feb 8, 2012
Key facts
- NPI
- 1891067641
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 007824 (CT)
- Practice address
- 225 N Main St Ste 106
Bristol, CT 06010-4993 - Phone
- (860) 585-4300
- NPI assigned
- Feb 8, 2012
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 007824 | CT | MD | Orthodontics and Dentofacial Orthopedic Dentist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 007824 | CT | Yes |
Addresses
Primary practice location
225 N Main St Ste 106
Bristol, CT 06010-4993
Mailing address
12 French St
Seymour, CT 06483-3021
Phone (203) 494-1720
Other providers in Bristol, CT
- Jessica Lynne Blankenship
- Peter E Bloom Jr.
- Andrew Blovish
- Rajendra Bobba
- Amy Marie Boccaccio
- C David Bomar
- Nelson A Bondhus
- April Bontempo
- Deborah Borgerding
- Katelin Ashley Bouchard
All providers in Bristol, CT · Clinical Social Worker in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 8, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.