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Contact Information

JENNIFER A TATTERSALL, LCSW
62 BROADWAY STE 1
NORWICH, CT06360-5702
 Phone: 860-639-6880
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
Indicates primary specialty

NPI Profile & details for JENNIFER A TATTERSALL · (Female)

NPI # 1013095231
Status Active
Credentials LCSW (Licensed Clinical Social Worker)
Entity Individual
Enumeration date 11/02/2006
Last updated 02/06/2019 - About 7 months ago
Sole proprietor 1 Yes
Identifiers
  • CT License # 005582
  • CT Medicaid 004255396
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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