Jessica A Collelo-Bibeau, LCSW
Social Worker, Clinical in Putnam, Connecticut
1043789142- Practice location
- 554 Liberty Hwy Ste 6, Putnam, CT 06260-2728
- Phone
- 860-412-4598
- Fax
- —
- Last updated
- February 17, 2023
Jessica Anne Collelo-Bibeau is a Social Worker, Clinical based in Putnam, CT. Jessica Anne Collelo-Bibeau practices in Putnam, CT and has the professional credentials of LCSW. The NPI Number for Jessica Anne Collelo-Bibeau is 1043789142 and holds a License No. 09144 (CT). The current practice location address for Jessica Anne Collelo-Bibeau is 554 Liberty Hwy Ste 6, Putnam, CT 06260-2728 and can be reached out via phone at 860-412-4598.
Provider Profile Details
- NPI Number
- 1043789142
- Provider Name
- Jessica Anne Collelo-Bibeau
- Credential
- LCSW
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 554 Liberty Hwy Ste 6, Putnam, CT 06260-2728
- Phone Number
- 860-412-4598
- Primary Taxonomy
- Social Worker, Clinical · 1041C0700X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- November 19, 2018
- Last Update Date
- February 17, 2023
- Certification Date
- February 14, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 554 Liberty Hwy Ste 6
Putnam, CT 06260-2728 - City
- Putnam
- State
- Connecticut
- Zip
- 06260-2728
- Phone Number
- 860-412-4598
Provider Business Mailing Address Details
- Address
- Po Box 541
Brooklyn, CT 06234-0541 - City
- Brooklyn
- State
- CT
- Zip
- 06234-0541
- Phone Number
- 860-428-2249
License Information
- License Number (1)
- 09144
- License State (1)
- CT
- Taxonomy (1)
- Social Worker, Clinical · 1041C0700X
- License Number (2)
- 9144
- License State (2)
- CT
- Taxonomy (2)
- Social Worker, Clinical · 1041C0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Jessica A Collelo-Bibeau, LCSW?
The NPI number of Jessica A Collelo-Bibeau, LCSW is 1043789142. It was assigned on November 19, 2018 and is currently active in the NPPES registry.
What is the specialty of Jessica A Collelo-Bibeau, LCSW?
Jessica A Collelo-Bibeau, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in CT under license number 09144.
Where does Jessica A Collelo-Bibeau, LCSW practice?
The practice location is 554 Liberty Hwy Ste 6, Putnam, CT 06260-2728. The office can be reached at 860-412-4598 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1043789142 directly on the NPPES registry website.