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

MS. Nicole Marie Jezairian, LCSW

Individual provider Clinical Social Worker · NPI 1457185704

MS. Nicole Marie Jezairian, LCSW is a Clinical Social Worker in Greenwich, Connecticut. Graduated from Fordham University School of Medicine in 2019, 7 years ago. Practices with Liberation Programs Inc, an 11-clinician group and accepts Medicare assignment. Licensed in Connecticut.

Years since qualifying
7
Trained at
Fordham University School of Medicine
Licensed in
CT
In the registry since
2024
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

75 Holly Hill Ln
Greenwich, CT 06830-6098
Phone: (203) 810-6282
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 14342 (CT)

Record details

NPI number1457185704
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedAugust 29, 2024
Last updated in NPPESAugust 29, 2024
Certification dateAugust 24, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolFORDHAM UNIVERSITY SCHOOL OF MEDICINE
Graduated 2019 (7 years in practice)
Group practice Liberation Programs Inc — 11 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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