Individual
JESSICA DARIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
525 BRIDGEPORT AVE STE 104, SHELTON, CT 06484-4700
(203) 878-6365
Mailing address
525 BRIDGEPORT AVE STE 104, SHELTON, CT 06484-4700
(203) 200-0608
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
004501
CT
1041C0700X
Clinical Social Worker
Primary
011283
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004039244
—
CT
Enumeration date
10/22/2018
Last updated
08/20/2025
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