Individual provider Active NPI

Jordan Buell Hunt, LCSW

  • Clinical Social Worker
  • Wallingford, CT
National Provider Identifier
1982722062
Registry record updated Feb 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
006800 Issued in CT
Practice address
380 N Main St
Wallingford, CT 06492-3209
Phone
(973) 747-9725
NPI assigned
Mar 27, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 7, 2013

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 44SC043926 NJ
Clinical Social Worker 1041C0700X 006800 CT Primary
Clinical Social Worker 1041C0700X LC13228 ME

Addresses

Primary practice location

380 N Main St
Wallingford, CT 06492-3209

Mailing address

380 N Main St
Wallingford, CT 06492-3209
Phone (973) 747-9725

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
I20150115001434 CT Practitioner - Clinical Social Worker 1658319900 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
92.66 of 100Reported as group
Quality
98.16
Promoting interoperability
100
Improvement activities
40
Cost
44.02

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LC13228MEMDClinical Social Worker
44SC043926NJMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Yale New Haven Hospital CurrentSince Dec 1, 2014 Accepting new patients
Step Up Care PC LLC CurrentSince Feb 2, 2021 Accepting new patients
Institute for Personal Growth Clinical Past Accepting new patients
Institute for Personal Growth Past Accepting new patients

Locations

184 Liberty St
New Haven, CT 06519
Phone (203) 688-9704

20 York St
North Haven, CT 06510
Phone (203) 688-2433

35 Marc Dr
Wallingford, CT 06492
Phone (203) 265-0981

27 Randolph Rd
Howell, NJ 07731
Phone (972) 677-7951

Organizations & group practices 4

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": "1174953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360195200000",
    "number": "1982722062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "380 N MAIN ST",
            "city": "WALLINGFORD",
            "state": "CT",
            "postal_code": "064923209",
            "telephone_number": "973-747-9725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 N MAIN ST",
            "city": "WALLINGFORD",
            "state": "CT",
            "postal_code": "064923209",
            "telephone_number": "973-747-9725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUNT",
        "first_name": "JORDAN",
        "middle_name": "BUELL",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-27",
        "last_updated": "2013-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC043926",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "006800",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LC13228",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wallingford, CT

Sources for this page

Verify at the official NPI Registry.