Active NPIIndividual providerSole proprietor

Mrs. Jennifer L Dina, LCSW

Social Worker, Clinical in Stratford, Connecticut

NPI Number1962965806
Practice location
80 Ferry Blvd, Stratford, CT 06615-6079
Fax
—
Last updated
April 8, 2019

Jennifer Lynn Dina is a Social Worker, Clinical based in Stratford, CT. Jennifer Lynn Dina practices in Stratford, CT and has the professional credentials of LCSW. The NPI Number for Jennifer Lynn Dina is 1962965806 and holds a License No. 010445 (CT). The current practice location address for Jennifer Lynn Dina is 80 Ferry Blvd, Stratford, CT 06615-6079 and can be reached out via phone at 203-394-6529.

Provider Profile Details

NPI Number
1962965806
Provider Name
Jennifer Lynn Dina
Credential
LCSW
Provider Entity Type
Individual
Gender
Female
Address
80 Ferry Blvd, Stratford, CT 06615-6079
Phone Number
203-394-6529
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Other Names
Jennifer Lynn Tyler (Former Name)
Provider Enumeration Date
April 8, 2019
Last Update Date
April 8, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
80 Ferry Blvd
Stratford, CT 06615-6079
Zip
06615-6079
Phone Number
203-394-6529
Stratford, CT 06615Get directions →

Provider Business Mailing Address Details

Address
80 Ferry Blvd
Stratford, CT 06615-6079
City
Stratford
State
CT
Zip
06615-6079
Phone Number
203-394-6529

License Information

License Number
010445
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 Mrs. Jennifer L Dina, LCSW?

The NPI number of Mrs. Jennifer L Dina, LCSW is 1962965806. It was assigned on April 8, 2019 and is currently active in the NPPES registry.

What is the specialty of Mrs. Jennifer L Dina, LCSW?

Mrs. Jennifer L Dina, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in CT under license number 010445.

Where does Mrs. Jennifer L Dina, LCSW practice?

The practice location is 80 Ferry Blvd, Stratford, CT 06615-6079. 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 1962965806 directly on the NPPES registry website.

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