IndividualActive
Carly Jacques, LCSW
NPI 1467022830 · Clinical Social Worker · New Milford, CT
Provider details
- NPI number
- 1467022830
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- No
- License
- MSW.005035 (CT)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Practice location
325 Danbury Rd
New Milford, CT 06776-4344
Phone: (860) 354-8556
Approximate (ZIP-level) locationGet directions
Mailing address
75 West St
Danbury, CT 06810-6528
Registry dates
- Enumerated
- 2021-06-29
- Last updated
- 2022-05-20
- Certified
- 2022-05-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.