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Jericka Theanny Baez

Licensed Practical Nurse • Enfield, CT

Active NPI 1538755632 Individual Practitioner Female Practitioner
Practice location in NPPES

153 Hazard Ave
Enfield, CT 060824592

Call 8607315522 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

153 Hazard Ave

Enfield, CT 060824592

Telephone 8607315522
Fax 8607315536
Organization at the Same NPPES Address or Phone
Community Health Resources, Inc Facility NPI 1215967427

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2020

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Enfield and Connecticut

74 active clinicians are listed under Licensed Practical Nurse with a practice address in Enfield, CT (382 in Connecticut).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Enfield

0% of these 74 clinicians have the CMS telehealth indicator.

0% of these 74 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2020-12-14
Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

License # reported to NPPES CT 042372

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Connecticut Department of Public Health Verification.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

19 listed
Eileen Daigle

Counselor - Professional

NPI 1205227295
Dr. Ronald Davidoff , MD

Psychiatry & Neurology - Child & Adolescent Psychiatry

NPI 1447366455

Doctor of Medicine (M.D.)

Dr. Robin Deutsch , MD

Internal Medicine - Addiction Medicine

NPI 1457663239

Doctor of Medicine (M.D.)

Dr. Jonathan Greenberg , MD

Psychiatry & Neurology - Geriatric Psychiatry

NPI 1033107198

Doctor of Medicine (M.D.)

Kate Leblanc , APRN

Nurse Practitioner - Psychiatric/Mental Health

NPI 1417349754

Advanced Practice Registered Nurse

Eben Lieberman , LCSW

Social Worker - Clinical

NPI 1558598037

Licensed Clinical Social Worker

Career & Practice History

NPI enumerated December 14, 2020.

No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from January 2021 to August 2026.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1538755632
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 14, 2020
Last Update: December 14, 2020
Sole Proprietor: No

Mailing Address

2 Waterside Xing Ste 401

Windsor, CT 060951588

Phone: 8607315522

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.