Healthcare Provider Details

I. General information

NPI: 1326236241
Provider Name (Legal Business Name): JESSICA L GAFFNEY LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/04/2007
Last Update Date: 04/27/2026
Certification Date: 04/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1506 POST RD STE 2
FAIRFIELD CT
06824-5916
US

IV. Provider business mailing address

925 ORONOKE RD UNIT 23E
WATERBURY CT
06708-3947
US

V. Phone/Fax

Practice location:
  • Phone: 475-228-7460
  • Fax:
Mailing address:
  • Phone: 475-228-7460
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number006450
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: