Active NPIIndividual providerSole proprietor

Jessica Vanderberg, LCSW

Social Worker, Clinical in Bethany, Connecticut

NPI Number1649902214
Practice location
4 Peck RD, Bethany, CT 06524-3322
Fax
—
Last updated
September 21, 2026

Jessica Vanderberg is a Social Worker, Clinical based in Bethany, CT. Jessica Vanderberg practices in Bethany, CT and has the professional credentials of LCSW. The NPI Number for Jessica Vanderberg is 1649902214 and holds a License No. 014422 (CT). The current practice location address for Jessica Vanderberg is 4 Peck RD, Bethany, CT 06524-3322 and can be reached out via phone at 646-283-3857.

Provider Profile Details

NPI Number
1649902214
Provider Name
Jessica Vanderberg
Credential
LCSW
Provider Entity Type
Individual
Gender
Female
Address
4 Peck RD, Bethany, CT 06524-3322
Phone Number
646-283-3857
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
June 30, 2022
Last Update Date
September 21, 2026
Certification Date
September 21, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
4 Peck RD
Bethany, CT 06524-3322
Zip
06524-3322
Phone Number
646-283-3857
Bethany, CT 06524Get directions →

Provider Business Mailing Address Details

Address
4 Peck RD
Bethany, CT 06524-3322
City
Bethany
State
CT
Zip
06524-3322
Phone Number
646-283-3857

License Information

License Number
014422
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 Vanderberg, LCSW?

The NPI number of Jessica Vanderberg, LCSW is 1649902214. It was assigned on June 30, 2022 and is currently active in the NPPES registry.

What is the specialty of Jessica Vanderberg, LCSW?

Jessica Vanderberg, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in CT under license number 014422.

Where does Jessica Vanderberg, LCSW practice?

The practice location is 4 Peck RD, Bethany, CT 06524-3322. The office can be reached at 646-283-3857 (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 1649902214 directly on the NPPES registry website.

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