MEDICARE: JESSICA SHARKEY LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	015132	CT

General Provider Information

NPI Number	:	1407525884
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JESSICA SHARKEY LCSW

Provider Business Mailing Address
First Line	:	420 HIGHLAND AVE STE B1
Second Line	:
City	:	CHESHIRE
State	:	CT
Zip	:	06410-2527
Country	:	US
Telephone Number	:	203-699-6576
Fax Number	:

Provider Business Practice Location Address
First Line	:	420 HIGHLAND AVE STE B1
Second Line	:
City	:	CHESHIRE
State	:	CT
Zip	:	06410-2527
Country	:	US
Telephone Number	:	203-699-6576
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/09/2021
Last Update Date	:	03/03/2026

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