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MR. EDGAR JIMENEZ CADC
NPI 1205019569
Counselor - Addiction (Substance Use Disorder) in Waterbury, CT

Active since December 10, 2007
402 E MAIN ST, WATERBURY, CT 06702(023) 755-1143(203) 753-3274 Get Directions Write a Review

NPPES record last updated: December 10, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Edgar Jimenez Cadc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. EDGAR JIMENEZ CADC (NPI 1205019569) is an individual addiction (substance use disorder) provider in Waterbury, Connecticut, licensed in Connecticut (CADC1378) and active in the NPI registry since December 2007.

NPPES Registry Identity

NPI1205019569
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameMR. EDGAR JIMENEZCredential: CADC
Location Address402 E MAIN STWaterbury, CT 06702-1701
Mailing Address402 E Main StWaterbury, CT 06702-1701 · (023) 755-1143 · Fax (203) 753-3274
Phone(023) 755-1143
Fax(203) 753-3274
Sole ProprietorNo
Enumeration DateDecember 10, 2007
✔ NPI 1205019569 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in CT · CADC1378
402 E MAIN ST, Waterbury, CT 06702
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SHALAYA SHAZEL
Community Health Worker
402 E MAIN ST
WATERBURY, CT 06702
Naugatuck Valley Planning Region (203) 574-9000
ERIN LAGE BS
Case Manager/Care Coordinator
402 E MAIN ST
WATERBURY, CT 06702
Naugatuck Valley Planning Region (203) 755-1143
ERIN L BREDEFELD LPC
Counselor (Professional)
402 E MAIN ST
WATERBURY, CT 06702
Naugatuck Valley Planning Region (203) 755-1143
ROBERT ALLEGRINI M.ED, BA
Counselor
402 E MAIN ST
WATERBURY, CT 06702
Naugatuck Valley Planning Region (203) 755-1143
MR. AKIVA SCHMOOKLER LCSW
Social Worker (Clinical)
402 E MAIN ST
WATERBURY, CT 06702
Naugatuck Valley Planning Region (203) 574-9000
VIVIAN CIPRIAN
Student in an Organized Health Care Education/Training Program
402 E MAIN ST
WATERBURY, CT 06702
Naugatuck Valley Planning Region (203) 755-1143
KATE KANAKIS COUNSELOR
Counselor
402 E MAIN ST
WATERBURY, CT 06702
Naugatuck Valley Planning Region (203) 755-1143
STEPHANIE FIGUEROA CLINICAL SOCIAL WORK
Social Worker (Clinical)
402 E MAIN ST
WATERBURY, CT 06702
Naugatuck Valley Planning Region (203) 755-1143

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Edgar Jimenez's NPI number?

The NPI number for Edgar Jimenez is 1205019569. It was assigned to this individual provider in the NPPES registry on December 10, 2007.

Where is Edgar Jimenez located?

Edgar Jimenez practices at 402 E Main St, Waterbury, CT 06702. The listed phone number is (023) 755-1143.

What is Edgar Jimenez's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Edgar Jimenez was last updated on December 10, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.