Jeannine Cleaver, LCSW
Social Worker, Clinical in Mystic, Connecticut
1336591924- Practice location
- 12 Roosevelt Ave, Mystic, CT 06355-2809
- Phone
- 602-459-8408
- Fax
- —
- Last updated
- September 27, 2024
Jeannine Cleaver is a Social Worker, Clinical based in Mystic, CT. Jeannine Cleaver practices in Mystic, CT and has the professional credentials of LCSW. The NPI Number for Jeannine Cleaver is 1336591924 and holds a License No. 10396 (CT). The current practice location address for Jeannine Cleaver is 12 Roosevelt Ave, Mystic, CT 06355-2809 and can be reached out via phone at 602-459-8408.
Provider Profile Details
- NPI Number
- 1336591924
- Provider Name
- Jeannine Cleaver
- Credential
- LCSW
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 12 Roosevelt Ave, Mystic, CT 06355-2809
- Phone Number
- 602-459-8408
- Primary Taxonomy
- Social Worker, Clinical · 1041C0700X
- Sole Proprietor
- No
- Other Names
- Jeannine Gemma (Former Name)
- Provider Enumeration Date
- July 7, 2016
- Last Update Date
- September 27, 2024
- Certification Date
- September 27, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 12 Roosevelt Ave
Mystic, CT 06355-2809 - City
- Mystic
- State
- Connecticut
- Zip
- 06355-2809
- Phone Number
- 602-459-8408
Provider Business Mailing Address Details
- Address
- 12 Roosevelt Ave # Mailbox5
Mystic, CT 06355-2809 - City
- Mystic
- State
- CT
- Zip
- 06355-2809
- Phone Number
- 602-459-8408
License Information
- Taxonomy (1)
- Counselor · 101Y00000X
- License Number (2)
- 10396
- License State (2)
- CT
- Taxonomy (2)
- 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 Mystic, CT
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Frequently Asked Questions
What is the NPI number of Jeannine Cleaver, LCSW?
The NPI number of Jeannine Cleaver, LCSW is 1336591924. It was assigned on July 7, 2016 and is currently active in the NPPES registry.
What is the specialty of Jeannine Cleaver, LCSW?
Jeannine Cleaver, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in CT under license number 10396.
Where does Jeannine Cleaver, LCSW practice?
The practice location is 12 Roosevelt Ave, Mystic, CT 06355-2809. The office can be reached at 602-459-8408 (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 1336591924 directly on the NPPES registry website.