Jill Stockmal Bennett, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

75 Granite St
New London, CT 06320-5730

Phone

(860) 437-4550

Fax

(860) 437-4552

NPI assigned

Oct 12, 2006

Last updated

Jul 10, 2008By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• J S Bennett LLC

  • Mental Health Counselor
  • Greensburg, PA
  • NPI 1861266306

  CT

  Medicare reassignment NPD Authorized official
• The Christian Counseling and Family Life Center, Inc.

  • Marriage & Family Therapist
  • Shelton, CT
  • NPI 1740313568

  Clinical

  Medicare reassignment NPD
• Child and Family Agency of Southeastern Connecticut, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • New London, CT
  • NPI 1093762114
  NPD (past)
• Child and Family Agency of Southeastern Connecticut, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • New London, CT
  • NPI 1679614242
  NPD (past)

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215648000000",
    "number": "1346339835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "84 CAMP BETHEL RD",
            "city": "HADDAM",
            "state": "CT",
            "postal_code": "064381346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 GRANITE ST",
            "city": "NEW LONDON",
            "state": "CT",
            "postal_code": "063205730",
            "telephone_number": "860-437-4550",
            "fax_number": "860-437-4552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNETT",
        "first_name": "JILL",
        "middle_name": "STOCKMAL",
        "name_prefix": "Ms.",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-12",
        "last_updated": "2008-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Bellhorn, PA-C
• Christopher Bellizzi, ATC/LMT
• Jenna Lee Bellucci, LPCA
• Shamal Srirammohan Beltangady, MD
• Joseph C Benedict, M.D.
• Sarah Whitney Bennett, PT
• Aymi Serena Bennhoff
• Cedric Benson, M.D.
• Calvin T Berg, LCSW
• Rachel Elizabeth Bergeron, MSW

• Clinical Social Worker in New London, CT
• Providers in New London, CT by specialty
• Clinical Social Worker in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.