Provider Demographics
NPI:1073836136
Name:JENNIFER M. LAPENTA, LCSW, L.L.C.
Entity Type:Organization
Organization Name:JENNIFER M. LAPENTA, LCSW, L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LCSW
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:LAPENTA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:860-761-3896
Mailing Address - Street 1:60 AVON MEADOW LN
Mailing Address - Street 2:SUITE 6
Mailing Address - City:AVON
Mailing Address - State:CT
Mailing Address - Zip Code:06001-3744
Mailing Address - Country:US
Mailing Address - Phone:860-761-3896
Mailing Address - Fax:
Practice Address - Street 1:60 AVON MEADOW LN
Practice Address - Street 2:SUITE 6
Practice Address - City:AVON
Practice Address - State:CT
Practice Address - Zip Code:06001-3744
Practice Address - Country:US
Practice Address - Phone:860-761-3896
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-03
Last Update Date:2010-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0071251041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty