Jonathan M Spodick, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

006200 Issued in CT

Practice address

762 Post Rd
Darien, CT 06820-4719

Phone

(203) 688-9855

NPI assigned

Sep 25, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373932800000",
    "number": "1902907090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "762 POST RD",
            "city": "DARIEN",
            "state": "CT",
            "postal_code": "068204719",
            "telephone_number": "203-688-9855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "762 POST RD",
            "city": "DARIEN",
            "state": "CT",
            "postal_code": "068204719",
            "telephone_number": "203-688-9855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPODICK",
        "first_name": "JONATHAN",
        "middle_name": "M",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-25",
        "last_updated": "2013-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "006200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandra Smeriglio, RPH
• Katelyn Moriah Smith-Bresky, PSY.D.
• Heather Smith, LCSW
• Isabel Kelly Smith, R.D.
• Suzanne T. Spinella-Curto, LCSW
• Anna-Lee Stafford
• Brittany Lynn Stanczuk, PSY.D.
• Donald Stangler, M.D.
• Starlight ABA CT LLC
• Rebecca Stiritz, PSY.D.

• Clinical Social Worker in Darien, CT
• Providers in Darien, 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 Jul 16, 2013; 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.