Jacqueline Ivana Stevens, LMSW
NPI 1033972500ActiveIndividual· Social Worker· Bridgeport, CT
Social Worker (LMSW) with Southern Connecticut Christian Counseling Center, practicing in Bridgeport, Connecticut. Enrolled in Medicare as practitioner - clinical social worker.
Overview
| NPI | 1033972500 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LMSW |
| Sole proprietor | Yes |
| NPI issued | Feb 6, 2024 |
| Last updated in NPPES | Feb 6, 2024 |
| Certified by provider | Feb 6, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker Primary | 104100000X | 6921 | CT |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Social Worker (CT) |
|---|
Education and affiliations
| Graduation year | 2022 |
|---|---|
| Medicare specialty | Clinical Social Worker |
Medical group
- Southern Connecticut Christian Counseling CenterFairfield, CT · 8 clinicians
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