Active NPIIndividual providerSole proprietor

Mr. Steven M Jack, LCSW

Social Worker, Clinical in Killingworth, Connecticut

NPI Number1760621577
Practice location
32 Parker Hill RD, Killingworth, CT 06419-2306
Fax
—
Last updated
November 6, 2026

Steven M Jack is a Social Worker, Clinical based in Killingworth, CT. Steven M Jack practices in Killingworth, CT and has the professional credentials of LCSW. The NPI Number for Steven M Jack is 1760621577 and holds a License No. 009168 (CT). The current practice location address for Steven M Jack is 32 Parker Hill RD, Killingworth, CT 06419-2306 and can be reached out via phone at 860-975-8410.

Provider Profile Details

NPI Number
1760621577
Provider Name
Steven M Jack
Credential
LCSW
Provider Entity Type
Individual
Gender
Male
Address
32 Parker Hill RD, Killingworth, CT 06419-2306
Phone Number
860-975-8410
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
February 18, 2009
Last Update Date
November 6, 2026
Certification Date
November 6, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
32 Parker Hill RD
Killingworth, CT 06419-2306
Zip
06419-2306
Phone Number
860-975-8410
Killingworth, CT 06419Get directions →

Provider Business Mailing Address Details

Address
32 Parker Hill RD
Killingworth, CT 06419-2306
City
Killingworth
State
CT
Zip
06419-2306
Phone Number
860-975-8410

License Information

License Number
009168
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 Mr. Steven M Jack, LCSW?

The NPI number of Mr. Steven M Jack, LCSW is 1760621577. It was assigned on February 18, 2009 and is currently active in the NPPES registry.

What is the specialty of Mr. Steven M Jack, LCSW?

Mr. Steven M Jack, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in CT under license number 009168.

Where does Mr. Steven M Jack, LCSW practice?

The practice location is 32 Parker Hill RD, Killingworth, CT 06419-2306. The office can be reached at 860-975-8410 (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 1760621577 directly on the NPPES registry website.

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