Individual
JESSICA N WARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
121 MOUNT PLEASANT RD, NEWTOWN YOUTH AND FAMILY SERVICES, INC., NEWTOWN, CT 06470-1537
(203) 426-8103
(203) 426-0550
Mailing address
121 MOUNT PLEASANT RD, NEWTOWN YOUTH AND FAMILY SERVICES, INC., NEWTOWN, CT 06470-1537
(203) 426-8103
(203) 426-0550
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CT 005031
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004125862-GROUP
—
CT
01
—
77ABH0020CT01
ANTHEM GROUP CLINIC
CT
01
—
ANC1319
OXFORD GROUP CLINIC
CT
Enumeration date
04/09/2008
Last updated
04/09/2008
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