Healthcare Provider Details

I. General information

NPI: 1508793910
Provider Name (Legal Business Name): BRINTHA JEYALINGAM LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/07/2026
Last Update Date: 05/07/2026
Certification Date: 05/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9 MOTT AVE
NORWALK CT
06850-3330
US

IV. Provider business mailing address

9 MOTT AVE
NORWALK CT
06850-3330
US

V. Phone/Fax

Practice location:
  • Phone: 914-712-8339
  • Fax:
Mailing address:
  • Phone: 914-712-8339
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number111672
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: