Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jessica Fonicello, CBE, CLC, CD, PRA

Individual provider Community Health Worker · NPI 1558168302

Jessica Fonicello, CBE, CLC, CD, PRA is a Community Health Worker in Guilford, Connecticut. Practices as a sole proprietor. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
2

Practice location Address checks out

2120 Little Meadow Rd
Guilford, CT 06437-1617
Phone: (203) 415-2388
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Doula (primary) Taxonomy 374J00000X
Community Health Worker Taxonomy 172V00000X

Record details

NPI number1558168302
Entity typeIndividual (Type 1)
GenderFemale
Credentials CBE , CLC , CD , PRA
Sole proprietorYes
NPI enumeratedFebruary 28, 2025
Last updated in NPPESFebruary 28, 2025
Certification dateFebruary 28, 2025