Individual
JILIAN ACEVEDO-GENAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
110 COMMERCE DR, SHELTON, CT 06484-6244
(203) 929-7331
(203) 925-0330
Mailing address
67 MAPLE AVE, DERBY, CT 06418-1328
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
107907-01
NY
1041C0700X
Clinical Social Worker
Primary
15338
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
107907-01
—
NY
Enumeration date
02/17/2021
Last updated
03/25/2026
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