Active NPIIndividual provider

Miss Jamie M Avallone, LCSW

Social Worker, Clinical in Derby, Connecticut

NPI Number1053937342
Practice location
30 Elizabeth St, Derby, CT 06418-1869
Fax
—
Last updated
November 22, 2024

Jamie Marie Avallone is a Social Worker, Clinical based in Derby, CT. Jamie Marie Avallone practices in Derby, CT and has the professional credentials of LCSW. The NPI Number for Jamie Marie Avallone is 1053937342 and holds a License No. LCSW (CT). The current practice location address for Jamie Marie Avallone is 30 Elizabeth St, Derby, CT 06418-1869 and can be reached out via phone at 203-954-0543.

Provider Profile Details

NPI Number
1053937342
Provider Name
Jamie Marie Avallone
Credential
LCSW
Provider Entity Type
Individual
Gender
Female
Address
30 Elizabeth St, Derby, CT 06418-1869
Phone Number
203-954-0543
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
No
Provider Enumeration Date
June 22, 2020
Last Update Date
November 22, 2024
Certification Date
November 22, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
30 Elizabeth St
Derby, CT 06418-1869
City
Derby
Zip
06418-1869
Phone Number
203-954-0543
Derby, CT 06418Get directions →

Provider Business Mailing Address Details

Address
133 Heatherwood Dr
Brookfield, CT 06804-3960
City
Brookfield
State
CT
Zip
06804-3960

License Information

License Number (1)
LCSW
License State (1)
CT
Taxonomy (1)
Social Worker · 104100000X
License Number (2)
13795
License State (2)
CT
Taxonomy (2)
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Miss Jamie M Avallone, LCSW?

The NPI number of Miss Jamie M Avallone, LCSW is 1053937342. It was assigned on June 22, 2020 and is currently active in the NPPES registry.

What is the specialty of Miss Jamie M Avallone, LCSW?

Miss Jamie M Avallone, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in CT under license number LCSW.

Where does Miss Jamie M Avallone, LCSW practice?

The practice location is 30 Elizabeth St, Derby, CT 06418-1869. The office can be reached at 203-954-0543 (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 1053937342 directly on the NPPES registry website.

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