Nicole Marie Jezairian, LCSW
NPI 1457185704ActiveIndividual· Social Worker, Clinical· Greenwich, CT
Social Worker, Clinical (LCSW) in Greenwich, Connecticut, trained at Fordham University School of Medicine (class of 2019). Enrolled in Medicare as practitioner - clinical social worker.
Overview
| NPI | 1457185704 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LCSW |
| Sole proprietor | Yes |
| NPI issued | Aug 29, 2024 |
| Last updated in NPPES | Aug 29, 2024 |
| Certified by provider | Aug 24, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | 14342 | CT |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 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
| Medical school | Fordham University School of Medicine |
|---|---|
| Graduation year | 2019 |
| Medicare specialty | Clinical Social Worker |
Medical group
- Liberation Programs IncStamford, CT · 10 clinicians
Other Social Worker, Clinical providers in Greenwich
- 1710462403
- 1104564459
- 1740450543
- 1447195896
- 1710565759
- 1760276190
- 1649984295
- 1942199674
- 1205471307
- 1497077259
- 1194595157
- 1417338906