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JENNIFER STAEHLY LCSW
NPI 1215325097
Social Worker - Clinical in Colchester, CT

Active since January 02, 2015PECOS Enrolled
276 S MAIN ST, COLCHESTER, CT 06415(860) 575-9891 Get Directions Write a Review

NPPES record last updated: January 30, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Jennifer Staehly Lcsw NPPES

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

JENNIFER STAEHLY LCSW (NPI 1215325097) is an individual clinical provider in Colchester, Connecticut, licensed in Connecticut (5480) and active in the NPI registry since January 2015. She is enrolled in Medicare PECOS, maintains a secondary practice location in Norwich, and is a graduate of University Of Connecticut School Of Medicine (1999).

NPPES Registry Identity

NPI1215325097
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameJENNIFER STAEHLYCredential: LCSW
Location Address276 S MAIN STColchester, CT 06415-2952
Mailing Address229 Town StEast Haddam, CT 06423-1425 · (860) 575-9891
Phone(860) 575-9891
Sole ProprietorNo
Medical School CMSUniversity Of Connecticut School Of MedicineGraduated 1999
Enumeration DateJanuary 2, 2015
Last NPPES UpdateJanuary 30, 2019
✔ NPI 1215325097 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 · 5480
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.
276 S MAIN ST, Colchester, CT 06415
Open in Google Maps ↗

Secondary Practice Location 1

Location 147 Town StNorwich, CT 06360-2323 · Phone (860) 892-7042

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jennifer Staehly Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9739405960
PECOS Enrollment IDI20150306001137
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 Reassignments

2

Medicare enrollment records show Jennifer Staehly reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Jennifer B Staehly Lcsw LLC
Same address
Community/Behavioral Health
276 S MAIN ST
Colchester, CT 06415
  • Reassigned Medicare billing, Connecticut enrollment
NPI 1710453220 (860) 575-9891
United Community And Family Services, Inc.
12 mi
Federally Qualified Health Center (FQHC)
47 TOWN STREET
Norwich, CT 06360
  • Reassigned Medicare billing, Connecticut enrollment
  • 166 clinicians in this Medicare group
NPI 1467482539 (860) 892-7042

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 06415 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.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KATHERINE MARROTTE LCSW
Social Worker (Clinical)
276 S MAIN ST
COLCHESTER, CT 06415
Southeastern Connecticut Planning Region (860) 917-9928
JENNIFER B STAEHLY LCSW LLC
Community/Behavioral Health
276 S MAIN ST
COLCHESTER, CT 06415
Southeastern Connecticut Planning Region (860) 575-9891

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 Staehly's NPI number?

The NPI number for Jennifer Staehly is 1215325097. It was assigned to this individual provider in the NPPES registry on January 2, 2015.

Where is Jennifer Staehly located?

Jennifer Staehly practices at 276 S Main St, Colchester, CT 06415. The listed phone number is (860) 575-9891.

What is Jennifer Staehly's specialty?

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

Is Jennifer Staehly enrolled in Medicare?

Yes. Jennifer Staehly is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Jennifer Staehly's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jennifer Staehly reassigns Medicare benefits to 2 organizations: Jennifer B Staehly Lcsw LLC (Colchester, CT) and United Community And Family Services, Inc. (Norwich, CT). Each 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 Staehly's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jennifer Staehly accept?

Health plans from Anthem Blue Cross and Blue Shield list Jennifer Staehly as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jennifer Staehly was last updated on January 30, 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.