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NPI Code Detail

MEDICARE: JESSICA ENCARNACION

MEDICARE: JESSICA ENCARNACION
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
11041C0700XClinical Social Worker

Other Identifiers

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

General Provider Information

NPI Number : 1851514392
Entity Type Code : Individual
Provider Name (Legal Business Name) : JESSICA ENCARNACION
Provider Business Mailing Address
First Line : 62 GRANT ST
Second Line :
City : NEW HAVEN
State : CT
Zip : 06519-2514
Country : US
Telephone Number : 203-503-3350
Fax Number : 203-503-3370
Provider Business Practice Location Address
First Line : 62 GRANT ST
Second Line :
City : NEW HAVEN
State : CT
Zip : 06519-2514
Country : US
Telephone Number : 203-503-3350
Fax Number : 203-503-3370
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/11/2007
Last Update Date : 05/21/2025

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1649443284 — ELIZABETH A PITKA
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06519-2514
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Directions to “ JESSICA ENCARNACION ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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