IndividualActive
Jenna Camerota, LCSW
NPI 1114661071 · Group Psychotherapy Psychologist · Wallingford, CT
Provider details
- NPI number
- 1114661071
- Entity type
- Individual
- Primary specialty
- Group Psychotherapy PsychologistBehavioral Health & Social Service Providers
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- Yes
- License
- 12153 (CT)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
300 Church St
Wallingford, CT 06492-2253
Phone: (203) 980-2079
Approximate (ZIP-level) locationGet directions
Mailing address
459 Route 81
Killingworth, CT 06419-1240
Registry dates
- Enumerated
- 2022-04-26
- Last updated
- 2022-04-26
- Certified
- 2022-04-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.