Jessica L Dimock
Social Worker, Clinical in Bolton, Connecticut
1184143513- Practice location
- 1212 Boston Tpke Ste B, Bolton, CT 06043-7451
- Phone
- 860-782-0036
- Fax
- —
- Last updated
- October 11, 2024
Jessica Levinnia Dimock is a Social Worker, Clinical based in Bolton, CT. Jessica Levinnia Dimock practices in Bolton, CT. The NPI Number for Jessica Levinnia Dimock is 1184143513 and holds a License No. 11145 (CT). The current practice location address for Jessica Levinnia Dimock is 1212 Boston Tpke Ste B, Bolton, CT 06043-7451 and can be reached out via phone at 860-782-0036.
Provider Profile Details
- NPI Number
- 1184143513
- Provider Name
- Jessica Levinnia Dimock
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 1212 Boston Tpke Ste B, Bolton, CT 06043-7451
- Phone Number
- 860-782-0036
- Primary Taxonomy
- Social Worker, Clinical · 1041C0700X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- September 18, 2017
- Last Update Date
- October 11, 2024
- Certification Date
- October 11, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1212 Boston Tpke Ste B
Bolton, CT 06043-7451 - City
- Bolton
- State
- Connecticut
- Zip
- 06043-7451
- Phone Number
- 860-782-0036
Provider Business Mailing Address Details
- Address
- 125 South St Apt 380
Vernon, CT 06066-4470 - City
- Vernon
- State
- CT
- Zip
- 06066-4470
- Phone Number
- 860-455-3858
License Information
- License Number
- 11145
- License State
- CT
- Taxonomy
- 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 L Dimock?
The NPI number of Jessica L Dimock is 1184143513. It was assigned on September 18, 2017 and is currently active in the NPPES registry.
What is the specialty of Jessica L Dimock?
Jessica L Dimock is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in CT under license number 11145.
Where does Jessica L Dimock practice?
The practice location is 1212 Boston Tpke Ste B, Bolton, CT 06043-7451. The office can be reached at 860-782-0036 (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 1184143513 directly on the NPPES registry website.