Active NPIIndividual provider

Jessica C Backer Wilde, LCSW

Social Worker, Clinical in Hartford, Connecticut

NPI Number1275649535
Practice location
200 Retreat Avenue, Hartford Hospital Psychiatry Dept, Hartford, CT 06106-3309
Fax
—
Last updated
January 27, 2017

Jessica C. Backer Wilde is a Social Worker, Clinical based in Hartford, CT. Jessica C. Backer Wilde practices in Hartford, CT and has the professional credentials of LCSW. The NPI Number for Jessica C. Backer Wilde is 1275649535 and holds a License No. 006528 (CT). The current practice location address for Jessica C. Backer Wilde is 200 Retreat Avenue, Hartford Hospital Psychiatry Dept, Hartford, CT 06106-3309 and can be reached out via phone at 860-545-7330.

Provider Profile Details

NPI Number
1275649535
Provider Name
Jessica C. Backer Wilde
Credential
LCSW
Provider Entity Type
Individual
Gender
Female
Address
200 Retreat Avenue, Hartford Hospital Psychiatry Dept, Hartford, CT 06106-3309
Phone Number
860-545-7330
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
No
Provider Enumeration Date
August 21, 2006
Last Update Date
January 27, 2017
NPI Status
Active

Provider Business Practice Location Address Details

Address
200 Retreat Avenue
Hartford Hospital Psychiatry Dept
Hartford, CT 06106-3309
Zip
06106-3309
Phone Number
860-545-7330
Hartford, CT 06106Get directions →

Provider Business Mailing Address Details

Address
200 Retreat Avenue
Hartford Hospital Psychiatry Dept
Hartford, CT 06106-3309
City
Hartford
State
CT
Zip
06106-3309
Phone Number
860-545-7330

License Information

License Number
006528
License State
CT
Taxonomy
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 Jessica C Backer Wilde, LCSW?

The NPI number of Jessica C Backer Wilde, LCSW is 1275649535. It was assigned on August 21, 2006 and is currently active in the NPPES registry.

What is the specialty of Jessica C Backer Wilde, LCSW?

Jessica C Backer Wilde, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in CT under license number 006528.

Where does Jessica C Backer Wilde, LCSW practice?

The practice location is 200 Retreat Avenue, Hartford Hospital Psychiatry Dept, Hartford, CT 06106-3309. The office can be reached at 860-545-7330 (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 1275649535 directly on the NPPES registry website.

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