Active NPIIndividual provider

Mr. Jonathan A Spears, LCSW

Social Worker, Clinical in Bridegport, Connecticut

NPI Number1346412996
Practice location
180 Fairfield Ave, Child Guidance Center, Bridegport, CT 06604
Fax
—
Last updated
March 24, 2008

Jonathan Adam Spears is a Social Worker, Clinical based in Bridegport, CT. Jonathan Adam Spears practices in Bridegport, CT and has the professional credentials of LCSW. The NPI Number for Jonathan Adam Spears is 1346412996 and holds a License No. 050572-1 (NY). The current practice location address for Jonathan Adam Spears is 180 Fairfield Ave, Child Guidance Center, Bridegport, CT 06604 and can be reached out via phone at 203-394-6529.

Provider Profile Details

NPI Number
1346412996
Provider Name
Jonathan Adam Spears
Credential
LCSW
Provider Entity Type
Individual
Gender
Male
Address
180 Fairfield Ave, Child Guidance Center, Bridegport, CT 06604
Phone Number
203-394-6529
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
No
Provider Enumeration Date
March 24, 2008
Last Update Date
March 24, 2008
NPI Status
Active

Provider Business Practice Location Address Details

Address
180 Fairfield Ave
Child Guidance Center
Bridegport, CT 06604
Zip
06604
Phone Number
203-394-6529
Bridegport, CT 06604Get directions →

Provider Business Mailing Address Details

Address
205 Beaumont St
Fairfield, CT 06824-5746
City
Fairfield
State
CT
Zip
06824-5746
Phone Number
203-255-7060

License Information

License Number
050572-1
License State
NY
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 Mr. Jonathan A Spears, LCSW?

The NPI number of Mr. Jonathan A Spears, LCSW is 1346412996. It was assigned on March 24, 2008 and is currently active in the NPPES registry.

What is the specialty of Mr. Jonathan A Spears, LCSW?

Mr. Jonathan A Spears, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in NY under license number 050572-1.

Where does Mr. Jonathan A Spears, LCSW practice?

The practice location is 180 Fairfield Ave, Child Guidance Center, Bridegport, CT 06604. The office can be reached at 203-394-6529 (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 1346412996 directly on the NPPES registry website.

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