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

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare Care Compare profile

Specialty
Qualified Speech Language Pathologist
Education
Other, 2017
Medicare assignment
May accept Medicare assignment
Group practices
Align Motion LLC (7 clinicians)

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 IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
005964CTMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Align Motion LLC Current
since Feb 2, 2026
Accepting new patients

Locations

491 N Main St
Naugatuck, CT 06770
Phone (203) 518-6065

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
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

All providers in Watertown, CT · Speech-Language Pathologist in Connecticut

Sources for this page

Verify at the official NPI Registry.