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MS. NICOLE MARIE JEZAIRIAN LCSW
NPI 1457185704
Social Worker - Clinical in Greenwich, CT

Active since August 29, 2024PECOS EnrolledAccepts Medicare Assignment
75 HOLLY HILL LN, GREENWICH, CT 06830(203) 810-6282 Get Directions Write a Review

NPPES record last updated: August 29, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Ms. Nicole Marie Jezairian Lcsw NPPES

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

MS. NICOLE MARIE JEZAIRIAN LCSW (NPI 1457185704) is an individual clinical provider in Greenwich, Connecticut, licensed in Connecticut (14342) and active in the NPI registry since August 2024. She is enrolled in Medicare PECOS and is a graduate of Fordham University School Of Medicine (2019).

NPPES Registry Identity

NPI1457185704
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. NICOLE MARIE JEZAIRIANCredential: LCSW
Location Address75 HOLLY HILL LNGreenwich, CT 06830-6098
Mailing Address14 Silwen LnNorwalk, CT 06851-3138 · (203) 810-6282
Phone(203) 810-6282
Sole ProprietorYes
Medical School CMSFordham University School Of MedicineGraduated 2019
Enumeration DateAugust 29, 2024
NPPES CertifiedAugust 24, 2024
✔ NPI 1457185704 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in CT · 14342
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
75 HOLLY HILL LN, Greenwich, CT 06830
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ms. Nicole Marie Jezairian Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID345771317
PECOS Enrollment IDI20241001002506
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Nicole Jezairian reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Liberation Programs Inc
5.9 mi
Adult Mental Health
115 MAIN ST
Stamford, CT 06901
  • Reassigned Medicare billing, Connecticut enrollment
  • 22 clinicians in this Medicare group
NPI 1649390733 (203) 356-1980

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06830 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $60.82 – $183.10
Typical copayment $0.00 (range $15.20 – $45.77)
Most-billed visit code NA
Established Patient
$75.55 typical visit price
range $19.76 – $149.26
Typical copayment $18.88 (range $4.94 – $37.31)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

DR. NICHOLAS HARRISON BROWNING M.D.
Internal Medicine
75 HOLLY HILL LN
GREENWICH, CT 06830
Western Connecticut Planning Region (203) 863-3400
DR. MARCELYN CAROL MOLLOY MD
Internal Medicine
75 HOLLY HILL LN
GREENWICH, CT 06830
Western Connecticut Planning Region (203) 869-6960
HARBOR POINT DENTAL AT GREENWICH PC
Dentist (General Practice)
75 HOLLY HILL LN
GREENWICH, CT 06830
Western Connecticut Planning Region (203) 548-0826
BRIAN ROBERTS
Physical Therapist
75 HOLLY HILL LN
GREENWICH, CT 06830
Western Connecticut Planning Region (203) 276-8526
GREENWICH NEUROSURGERY, P.C.
Neurological Surgery
75 HOLLY HILL LN
GREENWICH, CT 06830
Western Connecticut Planning Region (203) 661-3333
MELISSA GIBLIN PA-C
Physician Assistant
75 HOLLY HILL LN
GREENWICH, CT 06830
Western Connecticut Planning Region (203) 717-1760
NICHOLE S FERREIRA APRN
Nurse Practitioner (Primary Care)
75 HOLLY HILL LN
GREENWICH, CT 06830
Western Connecticut Planning Region (203) 869-6960
RUTH SANDRA THEAMAN LCSW-R
Social Worker (Clinical)
75 HOLLY HILL LN
GREENWICH, CT 06830
Western Connecticut Planning Region (203) 457-3669

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 Nicole Jezairian's NPI number?

The NPI number for Nicole Jezairian is 1457185704. It was assigned to this individual provider in the NPPES registry on August 29, 2024.

Where is Nicole Jezairian located?

Nicole Jezairian practices at 75 Holly Hill Ln, Greenwich, CT 06830. The listed phone number is (203) 810-6282.

What is Nicole Jezairian's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Nicole Jezairian enrolled in Medicare?

Yes. Nicole Jezairian is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Nicole Jezairian's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Jezairian reassigns Medicare benefits to Liberation Programs Inc (Stamford, CT). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Nicole Jezairian's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Nicole Jezairian was last updated on August 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.