Jacqueline Leigh Ferrell, MA CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Watertown, CT
NPI 1013772912 · NPPES record last updated Feb 19, 2024
Key facts
- NPI
- 1013772912
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- Practice address
- 560 Woodbury Rd
Watertown, CT 06795-1725 - Phone
- (860) 274-6748
- NPI assigned
- Feb 19, 2024
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 2017
- Medicare assignment
- May accept Medicare assignment
- Group practices
- Align Motion LLC
Practice addresses (Care Compare)
491 N Main St
Naugatuck, CT 06770-3032
Phone (203) 518-6065
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CT
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260311003695 | CT | Practitioner - Qualified Speech Language Pathologist | 7911480595 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 005964 | CT | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Align Motion LLC | Current |
Accepting new patients |
Locations
491 N Main St
Naugatuck, CT 06770
Phone (203) 518-6065
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | Yes |
Addresses
Primary practice location
560 Woodbury Rd
Watertown, CT 06795-1725
Mailing address
178 Darling St
Torrington, CT 06790-5630
Other providers in Watertown, CT
- Preshia Heather Evans
- Kayla Fac
- Angelo M. Farenga
- Peter Anthony Ferrante
- Matthew Ferrari
- James F Flint
- Kathryn Flodquist
- Flowing River Counseling, LLC
- Jessica Franca
- Julia A Frankel
All providers in Watertown, CT · Speech-Language Pathologist in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 19, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.