Active NPIIndividual providerSole proprietor

Catherine Jellie, LCSW

Social Worker, Clinical in Essex, Connecticut

NPI Number1366990491
Practice location
190 Westbrook RD, Essex, CT 06426-1518
Fax
860-767-0148
Last updated
April 11, 2019

Catherine Jellie is a Social Worker, Clinical based in Essex, CT. Catherine Jellie practices in Essex, CT and has the professional credentials of LCSW. The NPI Number for Catherine Jellie is 1366990491 and holds a License No. 10580 (CT). The current practice location address for Catherine Jellie is 190 Westbrook RD, Essex, CT 06426-1518 and can be reached out via phone at 860-767-0147 and via fax at 860-767-0148.

Provider Profile Details

NPI Number
1366990491
Provider Name
Catherine Jellie
Credential
LCSW
Provider Entity Type
Individual
Gender
Female
Address
190 Westbrook RD, Essex, CT 06426-1518
Phone Number
860-767-0147
Fax Number
860-767-0148
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
September 19, 2016
Last Update Date
April 11, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
190 Westbrook RD
Essex, CT 06426-1518
City
Essex
Zip
06426-1518
Phone Number
860-767-0147
Fax Number
860-767-0148
Essex, CT 06426Get directions →

Provider Business Mailing Address Details

Address
255 Hempstead St
New London, CT 06320-6204
City
New London
State
CT
Zip
06320-6204
Phone Number
860-443-2896
Fax Number
860-442-5909

License Information

Taxonomy (1)
Social Worker, Clinical · 1041C0700X
Taxonomy (2)
Counselor, Mental Health · 101YM0800X
License Number (3)
10580
License State (3)
CT
Taxonomy (3)
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Catherine Jellie, LCSW?

The NPI number of Catherine Jellie, LCSW is 1366990491. It was assigned on September 19, 2016 and is currently active in the NPPES registry.

What is the specialty of Catherine Jellie, LCSW?

Catherine Jellie, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in CT under license number 10580.

Where does Catherine Jellie, LCSW practice?

The practice location is 190 Westbrook RD, Essex, CT 06426-1518. The office can be reached at 860-767-0147 (phone) or 860-767-0148 (fax).

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 1366990491 directly on the NPPES registry website.

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