Organization
JENNIFER CHOKAS, LCSW, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER ANN CHOKAS LCSW (LICENSED CLINICAL SW/BUSINESS OWNER)
(860) 771-1166
Entity
Organization
Contact information
Practice address
19 SOUTH WALNUT ST., WAUREGAN, CT 06387-0530
(860) 960-0010
(860) 960-0020
Mailing address
19 SOUTH WALNUT ST., PO BOX 530, WAUREGAN, CT 06387-0530
(860) 960-0010
(860) 960-0020
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
$$$$$$$$$
SSN
CT
05
—
008031277
—
CT
01
—
1790081776
INDIVIDUAL NPI
CT
Enumeration date
04/18/2017
Last updated
05/21/2020
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