Individual provider Active NPI

Jennifer R Gadalinski, LCSW

  • Clinical Social Worker
  • New Britain, CT
National Provider Identifier
1912431537
Registry record updated Apr 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
9748 Issued in CT
Practice address
85 Lafayette St
New Britain, CT 06051-1803
Phone
(860) 224-3642
Fax
(860) 224-2760
NPI assigned
Apr 20, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2017

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 9748 CT Primary

Addresses

Primary practice location

85 Lafayette St
New Britain, CT 06051-1803

Mailing address

85 Lafayette St
New Britain, CT 06051-1803
Phone (860) 224-3642

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
I20240919000442 CT Practitioner - Clinical Social Worker 8729434865 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Health Center IncGroup PAC ID 0547169138, 149 clinicians

Practice addresses (Care Compare)

85 Lafayette St
New Britain, CT 06051-1803
Phone (860) 224-3642

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9748CTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Center Inc Clinical Current Accepting new patients
Community Health Center Inc CurrentSince Jul 29, 2024 Accepting new patients
Jennifer Gadalinski LCSW LLC Current Accepting new patients

Locations

19 Grand St
Middletown, CT 06457
Phone (860) 323-0172

85 Lafayette St
New Britain, CT 06051
Phone (860) 224-3642

Interoperability endpoints

  • Direct secure messaging: jennifer.gadalinski@chcict.eclinicaldirectplus.com

Organizations & group practices 3

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": "1492646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492646400000",
    "number": "1912431537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 LAFAYETTE ST",
            "city": "NEW BRITAIN",
            "state": "CT",
            "postal_code": "060511803",
            "telephone_number": "860-224-3642",
            "fax_number": "860-224-2760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 LAFAYETTE ST",
            "city": "NEW BRITAIN",
            "state": "CT",
            "postal_code": "060511803",
            "telephone_number": "860-224-3642",
            "fax_number": "860-224-2760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GADALINSKI",
        "first_name": "JENNIFER",
        "middle_name": "R",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-20",
        "last_updated": "2017-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "9748",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Britain, CT

Sources for this page

Verify at the official NPI Registry.