Provider Demographics
NPI:1528630118
Name:ESPOSITO, JENNIFER ANGELA (MSW)
Entity type:Individual
Prefix:MRS
First Name:JENNIFER
Middle Name:ANGELA
Last Name:ESPOSITO
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13 LANTERN HILL LN
Mailing Address - Street 2:
Mailing Address - City:GUILFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06437-2066
Mailing Address - Country:US
Mailing Address - Phone:163-127-5672
Mailing Address - Fax:
Practice Address - Street 1:1200 BOSTON POST RD STE 121
Practice Address - Street 2:
Practice Address - City:GUILFORD
Practice Address - State:CT
Practice Address - Zip Code:06437-2450
Practice Address - Country:US
Practice Address - Phone:631-275-6727
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-13
Last Update Date:2021-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker