Individual provider Active NPI

Jenny E Noia-Gilson, LCSW

  • Clinical Social Worker
  • Stratford, CT
National Provider Identifier
1902227077
Registry record updated Dec 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
7592 Issued in CT
Practice address
48 Sultan St
Stratford, CT 06614-2721
Phone
(203) 231-2043
Fax
(203) 283-7062
NPI assigned
Dec 17, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 17, 2013

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 7592 CT Primary

Addresses

Primary practice location

48 Sultan St
Stratford, CT 06614-2721

Mailing address

48 Sultan St
Stratford, CT 06614-2721
Phone (203) 231-2043

Other names 1

  • Jenny Noia Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140826000166 CT Practitioner - Clinical Social Worker 6507084019 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Jenny E. Noia-Gilson, LCSW, PLLC Clinical Current Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1387238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1387238400000",
    "number": "1902227077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48 SULTAN ST",
            "city": "STRATFORD",
            "state": "CT",
            "postal_code": "066142721",
            "telephone_number": "203-231-2043",
            "fax_number": "203-283-7062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48 SULTAN ST",
            "city": "STRATFORD",
            "state": "CT",
            "postal_code": "066142721",
            "telephone_number": "203-231-2043",
            "fax_number": "203-283-7062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOIA-GILSON",
        "first_name": "JENNY",
        "middle_name": "E",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-12-17",
        "last_updated": "2013-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "7592",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNY",
            "last_name": "NOIA",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Stratford, CT

Sources for this page

Verify at the official NPI Registry.