Jeanne E Eckrich, LCSW
Individual provider Active NPI Clinical Social Worker · Rowayton, CT
NPI 1962594440 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1962594440
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 002079 (CT)
- Practice address
- 149 Rowayton Ave
Rowayton, CT 06853 - Phone
- (203) 854-0880
- Fax
- (203) 655-2689
- NPI assigned
- Sep 29, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 002079 | CT | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 002079 | CT | Yes |
Addresses
Primary practice location
149 Rowayton Ave
Rowayton, CT 06853
Mailing address
149 Rowayton Ave
Rowayton, CT 06853
Phone (203) 854-0880
Other providers in Rowayton, CT
All providers in Rowayton, CT · Clinical Social Worker in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.