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MRS. JENNIFER ALICE TATTERSALL LCSW
NPI 1013095231
Social Worker - Clinical in Norwich, CT

Active since November 02, 2006PECOS EnrolledAccepts Medicare Assignment
62 BROADWAY STE 1, NORWICH, CT 06360(860) 639-6880 Get Directions Write a Review

NPPES record last updated: February 6, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mrs. Jennifer Alice Tattersall Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. JENNIFER ALICE TATTERSALL LCSW (NPI 1013095231) is an individual clinical provider in Norwich, Connecticut, licensed in Connecticut (005582) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS, maintains a secondary practice location in Norwich, and is a graduate of Other (2000).

NPPES Registry Identity

NPI1013095231
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMRS. JENNIFER ALICE TATTERSALLCredential: LCSW
Location Address62 BROADWAY STE 1Norwich, CT 06360-5702
Mailing Address62 Broadway Ste 1Norwich, CT 06360-5702 · (860) 639-6880
Phone(860) 639-6880
Sole ProprietorYes
Medical School CMSOtherGraduated 2000
Enumeration DateNovember 2, 2006
Last NPPES UpdateFebruary 6, 2019
✔ NPI 1013095231 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in CT · 005582
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, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
62 BROADWAY STE 1, Norwich, CT 06360
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Other Names 1

Former Name (1)Ms. Jennifer Alice Reeves Lcsw

Secondary Practice Location 1

Location 1401 West Thames Street, Southeastern Mental Health Authority Bldg 301Norwich, CT 06360 · Phone (860) 859-4674 · Fax (860) 859-4790

Other Identifiers 1

Medicaid004255396CT

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Jennifer Alice Tattersall Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2264424522
PECOS Enrollment IDI20040330000962
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Jennifer Tattersall reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

The William W Backus Hospital
1.4 mi
General Acute Care Hospital
326 WASHINGTON ST
Norwich, CT 06360
  • Reassigned Medicare billing, Connecticut enrollment
  • 430 clinicians in this Medicare group
NPI 1467517235 (860) 889-8331

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06360 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $60.82 – $183.10
Typical copayment $0.00 (range $15.20 – $45.77)
Most-billed visit code NA
Established Patient
$75.55 typical visit price
range $19.76 – $149.26
Typical copayment $18.88 (range $4.94 – $37.31)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jennifer Tattersall's NPI number?

The NPI number for Jennifer Tattersall is 1013095231. It was assigned to this individual provider in the NPPES registry on November 2, 2006. The provider is also known as Ms. Jennifer Alice Reeves Lcsw.

Where is Jennifer Tattersall located?

Jennifer Tattersall practices at 62 Broadway Ste 1, Norwich, CT 06360. The listed phone number is (860) 639-6880.

What is Jennifer Tattersall's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Jennifer Tattersall enrolled in Medicare?

Yes. Jennifer Tattersall is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Jennifer Tattersall's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jennifer Tattersall reassigns Medicare benefits to The William W Backus Hospital (Norwich, CT). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jennifer Tattersall's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jennifer Tattersall was last updated on February 6, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.