Jessica Baine
Social Worker, Clinical in Willimantic, Connecticut
1164890232- Practice location
- 54 North St, Willimantic, CT 06226-2528
- Phone
- 860-450-7122
- Fax
- —
- Last updated
- July 5, 2022
Jessica Baine is a Social Worker, Clinical based in Willimantic, CT. Jessica Baine practices in Willimantic, CT. The NPI Number for Jessica Baine is 1164890232 and holds a License No. 58.010487 (CT). The current practice location address for Jessica Baine is 54 North St, Willimantic, CT 06226-2528 and can be reached out via phone at 860-450-7122.
Provider Profile Details
- NPI Number
- 1164890232
- Provider Name
- Jessica Baine
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 54 North St, Willimantic, CT 06226-2528
- Phone Number
- 860-450-7122
- Primary Taxonomy
- Social Worker, Clinical · 1041C0700X
- Sole Proprietor
- No
- Provider Enumeration Date
- September 8, 2015
- Last Update Date
- July 5, 2022
- Certification Date
- July 5, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 54 North St
Willimantic, CT 06226-2528 - City
- Willimantic
- State
- Connecticut
- Zip
- 06226-2528
- Phone Number
- 860-450-7122
Provider Business Mailing Address Details
- Address
- 54 North St
Willimantic, CT 06226-2528 - City
- Willimantic
- State
- CT
- Zip
- 06226-2528
- Phone Number
- 860-450-7122
- Fax Number
- 860-450-7127
License Information
- Taxonomy (1)
- Social Worker, Clinical · 1041C0700X
- License Number (2)
- 58.010487
- License State (2)
- CT
- Taxonomy (2)
- Social Worker, Clinical · 1041C0700X
- License Number (3)
- 10487
- License State (3)
- CT
- Taxonomy (3)
- 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. | |||
Other Social Worker, Clinical providers near Willimantic, CT
View all Social Worker, Clinical providers in Willimantic →- Ariel Cussen, LCSWSocial Worker, Clinical · NPI 1013498153
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- Erica K Byrd, LCSWSocial Worker, Clinical · NPI 1427834365
- Janna Blackstone, LCSWSocial Worker, Clinical · NPI 1194684613
- Kassandrah D Banks, LMSWSocial Worker, Clinical · NPI 1659149250
- Kelli T BarboneSocial Worker, Clinical · NPI 1821813254
Frequently Asked Questions
What is the NPI number of Jessica Baine?
The NPI number of Jessica Baine is 1164890232. It was assigned on September 8, 2015 and is currently active in the NPPES registry.
What is the specialty of Jessica Baine?
Jessica Baine is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in CT under license number 58.010487.
Where does Jessica Baine practice?
The practice location is 54 North St, Willimantic, CT 06226-2528. The office can be reached at 860-450-7122 (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 1164890232 directly on the NPPES registry website.