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Contact Information

JESSICA M MADDERN, LCSW
1558 BARNUM AVENUE
BUILDING C
BRIDGEPORT, CT06610
 Phone: 203-384-3377
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Child & Adolescent Psychiatry

2084P0804X 86 Physician/Neuropsychiatry
 

Psychiatry

2084P0800X 26 Physician/Psychiatry
Indicates primary specialty

NPI Profile & details for JESSICA M MADDERN · (Female)

NPI Number 1194247916
Status Active
Credentials LCSW (Licensed Clinical Social Worker)
Entity Individual
Enumeration date 07/13/2017
Last updated 07/13/2017 - About 9 years ago
Sole proprietor 1 No
Identifiers
  • CT License # 008033
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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