Carly R Jacques, LCSW
Social Worker, Clinical in New Milford, Connecticut
1467022830- Practice location
- 325 Danbury RD, New Milford, CT 06776-4344
- Phone
- 860-354-8556
- Fax
- —
- Last updated
- May 20, 2022
Carly Rae Jacques is a Social Worker, Clinical based in New Milford, CT. Carly Rae Jacques practices in New Milford, CT and has the professional credentials of LCSW. The NPI Number for Carly Rae Jacques is 1467022830 and holds a License No. MSW.005035 (CT). The current practice location address for Carly Rae Jacques is 325 Danbury RD, New Milford, CT 06776-4344 and can be reached out via phone at 860-354-8556.
Provider Profile Details
- NPI Number
- 1467022830
- Provider Name
- Carly Rae Jacques
- Credential
- LCSW
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 325 Danbury RD, New Milford, CT 06776-4344
- Phone Number
- 860-354-8556
- Primary Taxonomy
- Social Worker, Clinical · 1041C0700X
- Sole Proprietor
- No
- Provider Enumeration Date
- June 29, 2021
- Last Update Date
- May 20, 2022
- Certification Date
- May 20, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 325 Danbury RD
New Milford, CT 06776-4344 - City
- New Milford
- State
- Connecticut
- Zip
- 06776-4344
- Phone Number
- 860-354-8556
Provider Business Mailing Address Details
- Address
- 75 West St
Danbury, CT 06810-6528 - City
- Danbury
- State
- CT
- Zip
- 06810-6528
- Phone Number
- 860-354-8556
- Fax Number
- 860-354-3975
License Information
- License Number (1)
- MSW.005035
- License State (1)
- CT
- Taxonomy (1)
- Social Worker · 104100000X
- License Number (2)
- 012182
- 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. | |||
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Frequently Asked Questions
What is the NPI number of Carly R Jacques, LCSW?
The NPI number of Carly R Jacques, LCSW is 1467022830. It was assigned on June 29, 2021 and is currently active in the NPPES registry.
What is the specialty of Carly R Jacques, LCSW?
Carly R Jacques, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in CT under license number MSW.005035.
Where does Carly R Jacques, LCSW practice?
The practice location is 325 Danbury RD, New Milford, CT 06776-4344. The office can be reached at 860-354-8556 (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 1467022830 directly on the NPPES registry website.