Active NPIIndividual provider

Nicole Hennessy, LCSW

Social Worker, Clinical in Thomaston, Connecticut

NPI Number1164971958
Practice location
4 Ellen Ln, Thomaston, CT 06787-1292
Fax
—
Last updated
September 30, 2026

Nicole Hennessy is a Social Worker, Clinical based in Thomaston, CT. Nicole Hennessy practices in Thomaston, CT and has the professional credentials of LCSW. The NPI Number for Nicole Hennessy is 1164971958 and holds a License No. 096752-1 (NY). The current practice location address for Nicole Hennessy is 4 Ellen Ln, Thomaston, CT 06787-1292 and can be reached out via phone at 203-892-5946.

Provider Profile Details

NPI Number
1164971958
Provider Name
Nicole Hennessy
Credential
LCSW
Provider Entity Type
Individual
Gender
Female
Address
4 Ellen Ln, Thomaston, CT 06787-1292
Phone Number
203-892-5946
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
No
Provider Enumeration Date
September 22, 2016
Last Update Date
September 30, 2026
Certification Date
September 30, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
4 Ellen Ln
Thomaston, CT 06787-1292
Zip
06787-1292
Phone Number
203-892-5946
Thomaston, CT 06787Get directions →

Provider Business Mailing Address Details

Address
4 Ellen Ln
Thomaston, CT 06787-1292
City
Thomaston
State
CT
Zip
06787-1292
Phone Number
203-892-5946

License Information

Taxonomy (1)
Social Worker, Clinical · 1041C0700X
License Number (2)
096752-1
License State (2)
NY
Taxonomy (2)
Social Worker, Clinical · 1041C0700X
License Number (3)
012560
License State (3)
CT
Taxonomy (3)
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 Nicole Hennessy, LCSW?

The NPI number of Nicole Hennessy, LCSW is 1164971958. It was assigned on September 22, 2016 and is currently active in the NPPES registry.

What is the specialty of Nicole Hennessy, LCSW?

Nicole Hennessy, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in NY under license number 096752-1.

Where does Nicole Hennessy, LCSW practice?

The practice location is 4 Ellen Ln, Thomaston, CT 06787-1292. The office can be reached at 203-892-5946 (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 1164971958 directly on the NPPES registry website.

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