Jennifer Alice Tattersall in Norwich - Clinical
Jennifer Alice Tattersall - NPI 1013095231
Jennifer Alice Tattersall is a Clinical in Norwich, Connecticut. Jennifer Alice Tattersall practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jennifer Alice Tattersall is 1013095231. The last update date is 2019-02-06.
Jennifer Alice Tattersall's current location address is 62 Broadway Ste 1, Norwich, Connecticut. You can contact this provider via phone number 8606396880. The mailing address for Jennifer Alice Tattersall is 62 Broadway Ste 1, Norwich, Connecticut. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jennifer Alice Tattersall |
|---|---|
| Address | 62 Broadway Ste 1, Norwich, Connecticut |
| Phone Number | 8606396880 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1013095231 |
|---|---|
| Provider Enumeration Date | 2006-11-02 |
| Last Updated Date | 2019-02-06 |
Provider Mailing Address Detail
| Address | 62 Broadway Ste 1 |
|---|---|
| City | Norwich |
| State | Connecticut (CT) |
| Post Code | 63605702 |
| Phone Number | 8606396880 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 5582 |
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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, certif |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4255396 | CT | -- |
Post Comment/ Review Below
What is the Jennifer Alice Tattersall's 1013095231?
The Jennifer Alice Tattersall's NPI (National Provider Identifier) Number is 1013095231. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Jennifer Alice Tattersall is physically located?
The Jennifer Alice Tattersall is situated at the following address: 62 Broadway Ste 1, Norwich, CT 63605702.
What is Jennifer Alice Tattersall's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Jennifer Alice Tattersall's specialized field of practice is Clinical, and the corresponding taxonomy code that categorizes this area of specialization is 1041C0700X.
On what date was the 1013095231 assigned to Jennifer Alice Tattersall?
The Jennifer Alice Tattersall was issued its 1013095231 on 2006-11-02, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the Jennifer Alice Tattersall's information last updated?
The Jennifer Alice Tattersall's information was last updated on 2019-02-06.
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