NPI 1699337519 · live from the CMS NPI Registry
Jennie J Albert, PhD, LCSW
Social Worker, Clinical in South Windsor, CT. National Provider Identifier 1699337519, active.
NPI record
| NPI | 1699337519 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Social Worker, Clinical 1041C0700X |
| Practice location | 139 Homestead Dr, South Windsor, CT 06074 |
| Practice phone | 860-798-7050 |
| Enumerated | July 1, 2019 |
| Last updated | July 1, 2019 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker | 104100000X | — (CT) |
| Case Management | 251B00000X | — |
| Social Worker, Clinical primary | 1041C0700X | 006690 (CT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.