Jennifer Staehly, LCSW
Social Worker, Clinical in Colchester, Connecticut
1215325097- Practice location
- 276 S Main St, Colchester, CT 06415-2952
- Phone
- 860-575-9891
- Fax
- —
- Last updated
- January 30, 2019
Jennifer Staehly is a Social Worker, Clinical based in Colchester, CT. Jennifer Staehly practices in Colchester, CT and has the professional credentials of LCSW. The NPI Number for Jennifer Staehly is 1215325097 and holds a License No. 5480 (CT). The current practice location address for Jennifer Staehly is 276 S Main St, Colchester, CT 06415-2952 and can be reached out via phone at 860-575-9891.
Provider Profile Details
- NPI Number
- 1215325097
- Provider Name
- Jennifer Staehly
- Credential
- LCSW
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 276 S Main St, Colchester, CT 06415-2952
- Phone Number
- 860-575-9891
- Primary Taxonomy
- Social Worker, Clinical · 1041C0700X
- Sole Proprietor
- No
- Provider Enumeration Date
- January 2, 2015
- Last Update Date
- January 30, 2019
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 276 S Main St
Colchester, CT 06415-2952 - City
- Colchester
- State
- Connecticut
- Zip
- 06415-2952
- Phone Number
- 860-575-9891
Provider Business Mailing Address Details
- Address
- 229 Town St
East Haddam, CT 06423-1425 - City
- East Haddam
- State
- CT
- Zip
- 06423-1425
- Phone Number
- 860-575-9891
License Information
- License Number
- 5480
- License State
- CT
- Taxonomy
- Social Worker, Clinical · 1041C0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Jennifer Staehly, LCSW?
The NPI number of Jennifer Staehly, LCSW is 1215325097. It was assigned on January 2, 2015 and is currently active in the NPPES registry.
What is the specialty of Jennifer Staehly, LCSW?
Jennifer Staehly, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in CT under license number 5480.
Where does Jennifer Staehly, LCSW practice?
The practice location is 276 S Main St, Colchester, CT 06415-2952. The office can be reached at 860-575-9891 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1215325097 directly on the NPPES registry website.