Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Jennifer Alice Tattersall, LCSW

Individual provider Clinical Social Worker · NPI 1013095231

Mrs. Jennifer Alice Tattersall, LCSW is a Clinical Social Worker in Norwich, Connecticut. Qualified in 2000, 26 years ago. Practices as a sole proprietor, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Connecticut.

Years since qualifying
26
Licensed in
CT
In the registry since
2006
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

62 Broadway Ste 1
Norwich, CT 06360-5702
Phone: (860) 639-6880
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 401 West Thames Street, Norwich, CT 06360 — (860) 859-4674

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 005582 (CT)

Record details

NPI number1013095231
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedNovember 2, 2006
Last updated in NPPESFebruary 6, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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