| Jewish Family Services Of Greenwich Inc | |
|
67 Holly Hill Ln Greenwich CT 06830-6072 | |
| (203) 622-1881 | |
| (855) 672-0625 |
| Full Name | Jewish Family Services Of Greenwich Inc |
|---|---|
| Speciality | Social Worker |
| Location | 67 Holly Hill Ln, Greenwich, Connecticut |
| Authorized Official Name and Position | Lisa L Smith (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 2036221881 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jewish Family Services Of Greenwich Inc 67 Holly Hill Ln Greenwich CT 06830-6072 Ph: (203) 622-1881 | Jewish Family Services Of Greenwich Inc 67 Holly Hill Ln Greenwich CT 06830-6072 Ph: (203) 622-1881 |
| NPI Number | 1740450543 |
|---|---|
| Provider Enumeration Date | 03/07/2008 |
| Last Update Date | 07/13/2023 |
| Certification Date | 07/13/2023 |
| Medicare PECOS PAC ID | 2062497001 |
|---|---|
| Medicare Enrollment ID | O20040623000142 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740450543 | NPI | - | NPPES |
| CO2944 | Other | CT | MEDICARE IDENTIFICATION# |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| 251V00000X | Voluntary Or Charitable | (* (Not Available)) | Secondary |
| Provider Name | Ruthann Jaffe Birnbaum |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699000729 PECOS PAC ID: 6103105788 Enrollment ID: I20161123000417 |
| Provider Name | Florence Griffin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659839884 PECOS PAC ID: 0840529699 Enrollment ID: I20190904002466 |
| Provider Name | Joan Parks Jacobs |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770983967 PECOS PAC ID: 2567890890 Enrollment ID: I20200319000819 |
| Provider Name | Jillian Levy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013169556 PECOS PAC ID: 9537599303 Enrollment ID: I20200417001993 |
| Provider Name | Jocelyn Walls |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134753999 PECOS PAC ID: 3476964651 Enrollment ID: I20201118003043 |
| Provider Name | Rachel Levine Kornfeld |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013392455 PECOS PAC ID: 1153732698 Enrollment ID: I20201204001101 |
| Provider Name | Michelle Rose Chiappa |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720694904 PECOS PAC ID: 2062824527 Enrollment ID: I20201208000905 |
| Provider Name | Kimberly Bw Lisack |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558962928 PECOS PAC ID: 5597170977 Enrollment ID: I20210217000680 |
| Provider Name | Angela Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659782134 PECOS PAC ID: 9638586282 Enrollment ID: I20210325002382 |
| Provider Name | Amy Leigh Dorsey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811489545 PECOS PAC ID: 2466845847 Enrollment ID: I20220207002176 |
| Provider Name | Jane T. Haimes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730283458 PECOS PAC ID: 6103298716 Enrollment ID: I20230208001118 |
| Provider Name | Erin Tishman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1821343609 PECOS PAC ID: 4789026766 Enrollment ID: I20240522001075 |
| Provider Name | Michael Stephen Chase |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053196576 PECOS PAC ID: 4981142627 Enrollment ID: I20240813003475 |
| Provider Name | Jessica Gail Siegel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639864713 PECOS PAC ID: 8325586944 Enrollment ID: I20240814002622 |
| Provider Name | Tara Pine |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639776735 PECOS PAC ID: 7315488434 Enrollment ID: I20240917001809 |
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Jewish Family Services Of Greenwich Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 67 Holly Hill Ln, Greenwich, CT 06830 Phone: 203-622-1881 Fax: 855-672-0625 | |
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