Timothy James Jeski, LCSW

Primary specialty

Social WorkerTaxonomy code 104100000X

Practice address

1169 Ellington Rd
South Windsor, CT 06074-3515

Phone

(860) 324-2840

NPI assigned

Sep 13, 2007

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Southwindsorpsychotherapy

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • South Windsor, CT
  • NPI 1275279697
  NPD Authorized official

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

{
    "created_epoch": "1189641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652832000000",
    "number": "1891980678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "512 MAIN ST",
            "city": "NEWINGTON",
            "state": "CT",
            "postal_code": "061112413",
            "telephone_number": "860-324-2840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1169 ELLINGTON RD",
            "city": "SOUTH WINDSOR",
            "state": "CT",
            "postal_code": "060743515",
            "telephone_number": "860-324-2840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JESKI",
        "first_name": "TIMOTHY",
        "middle_name": "JAMES",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-09-13",
        "last_updated": "2022-05-18",
        "certification_date": "2022-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CT",
            "license": "08334",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susada Inthavong, APRN
• Krista Iwanicki
• Quincy Edwige Jacques
• Gene T Jay, PHARMD
• Margaret Jeffrey
• Jessemyn Pekari, LMFT,LLC
• Jessica Grzywinski LLC
• Jennifer Karin Anne Johnson, LPC
• Haley Jones
• Journey Towards Healing U, LLC

• Social Worker in South Windsor, CT
• Providers in South Windsor, CT by specialty
• Social Worker in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2022; 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.