MEDICARE: MRS. JOSEFINA A CESPEDES 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	103TB0200X	Cognitive & Behavioral Psychologist
2	103TC2200X	Clinical Child & Adolescent Psychologist
3	104100000X	Social Worker	6144	CT
4	103TM1800X	Intellectual & Developmental Disabilities Psychologist
5	101YA0400X	Addiction (Substance Use Disorder) Counselor
6	101YP1600X	Pastoral Counselor
7	1041C0700X	Clinical Social Worker	16214	CT

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1578740189
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. JOSEFINA A CESPEDES LCSW

Provider Business Mailing Address
First Line	:	1372 SUMMER ST STE 2
Second Line	:
City	:	STAMFORD
State	:	CT
Zip	:	06905-5366
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1372 SUMMER ST STE 2
Second Line	:
City	:	STAMFORD
State	:	CT
Zip	:	06905-5366
Country	:	US
Telephone Number	:	--
Fax Number	:

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

Provider Enumeration Date	:	01/25/2008
Last Update Date	:	03/11/2026

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