Jenna Nicole Tomasiewicz

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

4373 Issued in CT

Practice address

24 Chimney Dr
Bethel, CT 06801-1225

Phone

(845) 905-6564

NPI assigned

Oct 17, 2019

Last updated

Oct 18, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Putnam Family and Community Services Inc

  dba CoveCare Center

  • Mental Health Counselor
  • Carmel, NY
  • NPI 1497737167
  NPD (past)
• Putnam Family and Community Services Inc

  dba CoveCare Center

  • Mental Illness Community Based Residential Treatment Facility
  • Carmel, NY
  • NPI 1972458545
  NPD (past)

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

{
    "created_epoch": "1571270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697587200000",
    "number": "1902449341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 CHIMNEY DR",
            "city": "BETHEL",
            "state": "CT",
            "postal_code": "068011225",
            "telephone_number": "845-905-6564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 CHIMNEY DR",
            "city": "BETHEL",
            "state": "CT",
            "postal_code": "068011225",
            "telephone_number": "845-905-6564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOMASIEWICZ",
        "first_name": "JENNA",
        "middle_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-17",
        "last_updated": "2023-10-18",
        "certification_date": "2023-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "103149",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "4373",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AGENCY NPI",
            "identifier": "1497737167",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02995857",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karen Dauerer Stutman, PT
• Holly Amber Suriano, M.S. OTR/L
• Teresa Sweeney, LMSW
• Mehak Talwar
• The Stony Hill Volunteer Fire Company
• Peter Toussaint, DC
• Linda Tran, LPC
• Tranquility Wellness
• Turning Point Medical
• Frans Johannes Van Vliet, MS PT

• Clinical Social Worker in Bethel, CT
• Providers in Bethel, 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 Oct 18, 2023; 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.