Individual provider Active NPI

Jessica Heuschele, PHD

  • Social Worker
  • New London, CT
National Provider Identifier
1285282277
Registry record updated Sep 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Practice address
7 Vauxhall St
New London, CT 06320-5711
Phone
(860) 442-2797
Fax
(860) 701-3776
NPI assigned
Sep 3, 2019
Last updated
Sep 3, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 3, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X Primary

Addresses

Primary practice location

7 Vauxhall St
New London, CT 06320-5711

Mailing address

255 Hempstead St
New London, CT 06320-6204
Phone (860) 443-2896

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240701001195 CT Practitioner - Clinical Social Worker 8527502632 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Waterstone Counseling Center LLCGroup PAC ID 0749681070, 10 clinicians

Practice addresses (Care Compare)

1057 Poquonnock Rd
Groton, CT 06340-6630
Phone (860) 772-7161

32 Wall St
Suite C
Madison, CT 06443-3100
Phone (203) 245-0412

400 Bayonet St
Suite 201
New London, CT 06320-2600
Phone (203) 245-0412

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
13758CTMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Creature Comfort Counseling, LLC CurrentSince May 13, 2025 Accepting new patients
Legal Social Work Consultants LLC CurrentSince May 1, 2024 Accepting new patients
Waterstone Health LLC CurrentSince Apr 1, 2025 Accepting new patients
Waterstone Counseling Center, LLC CurrentSince May 1, 2024 Accepting new patients

Locations

15 Valley Dr
Ste 3E
Greenwich, CT 06831
Phone (203) 653-3519

1057 Poquonnock Rd
Groton, CT 06340
Phone (860) 445-4148

32 Wall St
#C
Madison, CT 06443
Phone (203) 245-0412

86 Bradley Rd
Madison, CT 06443
Phone (203) 245-0412

Organizations & group practices 4

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1567468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567468800000",
    "number": "1285282277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 HEMPSTEAD ST",
            "city": "NEW LONDON",
            "state": "CT",
            "postal_code": "063206204",
            "telephone_number": "860-443-2896",
            "fax_number": "860-442-5909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 VAUXHALL ST",
            "city": "NEW LONDON",
            "state": "CT",
            "postal_code": "063205711",
            "telephone_number": "860-442-2797",
            "fax_number": "860-701-3776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEUSCHELE",
        "first_name": "JESSICA",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-03",
        "last_updated": "2019-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New London, CT

Sources for this page

Verify at the official NPI Registry.