Active NPIIndividual providerSole proprietor

Mrs. Jennifer Theriault, LCSW

Social Worker, Clinical in Weston, Connecticut

NPI Number1316302722
Practice location
21 Trails End RD, Weston, CT 06883-1236
Fax
—
Last updated
December 30, 2015

Jennifer Theriault is a Social Worker, Clinical based in Weston, CT. Jennifer Theriault practices in Weston, CT and has the professional credentials of LCSW. The NPI Number for Jennifer Theriault is 1316302722 and holds a License No. 004506 (CT). The current practice location address for Jennifer Theriault is 21 Trails End RD, Weston, CT 06883-1236 and can be reached out via phone at 917-532-1944.

Provider Profile Details

NPI Number
1316302722
Provider Name
Jennifer Theriault
Credential
LCSW
Provider Entity Type
Individual
Gender
Female
Address
21 Trails End RD, Weston, CT 06883-1236
Phone Number
917-532-1944
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
December 30, 2015
Last Update Date
December 30, 2015
NPI Status
Active

Provider Business Practice Location Address Details

Address
21 Trails End RD
Weston, CT 06883-1236
City
Weston
Zip
06883-1236
Phone Number
917-532-1944
Weston, CT 06883Get directions →

Provider Business Mailing Address Details

Address
465 Danbury RD.
Wilton, CT 06897
City
Wilton
State
CT
Zip
06897
Phone Number
917-532-1944

License Information

License Number
004506
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.

Other Social Worker, Clinical providers near Weston, CT

View all Social Worker, Clinical providers in Weston →

Frequently Asked Questions

What is the NPI number of Mrs. Jennifer Theriault, LCSW?

The NPI number of Mrs. Jennifer Theriault, LCSW is 1316302722. It was assigned on December 30, 2015 and is currently active in the NPPES registry.

What is the specialty of Mrs. Jennifer Theriault, LCSW?

Mrs. Jennifer Theriault, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in CT under license number 004506.

Where does Mrs. Jennifer Theriault, LCSW practice?

The practice location is 21 Trails End RD, Weston, CT 06883-1236. The office can be reached at 917-532-1944 (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 1316302722 directly on the NPPES registry website.

Browse related providers