Individual provider Active NPI

Jillian Quinn Taylor, LCSW

  • Clinical Social Worker
  • Glastonbury, CT
National Provider Identifier
1487225207
Registry record updated Mar 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
58.011562 Issued in CT
Practice address
49 Welles St Ste 216
Glastonbury, CT 06033-4205
Phone
(860) 334-5829
NPI assigned
Jul 2, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 58.011562 CT Primary

Addresses

Primary practice location

49 Welles St Ste 216
Glastonbury, CT 06033-4205

Mailing address

49 Welles St Ste 216
Glastonbury, CT 06033-4205
Phone (860) 334-5829

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
I20250407001977 CT Practitioner - Clinical Social Worker 4587188032 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Windham Community Memorial Hospital IncGroup PAC ID 2961309059, 67 clinicians

Practice addresses (Care Compare)

112 Mansfield Ave
Willimantic, CT 06226-2045
Phone (860) 456-9116

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
58.011562CTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
William W Backus Hospital CurrentSince Mar 10, 2025 Accepting new patients
Windham Community Memorial Hospital, Inc. CurrentSince Mar 10, 2025 Accepting new patients
The William W Backus Hospital CurrentSince Mar 10, 2025 Accepting new patients
The William W Backus Hospital Current Accepting new patients
Innovative Solutions Counseling, LLC PastSince Jul 4, 2021 Accepting new patients

Locations

326 Washington St
Norwich, CT 06360
Phone (860) 701-0140

1290 Silas Deane Hwy
Wethersfield, CT 06109
Phone (860) 972-6977

112 Mansfield Ave
Willimantic, CT 06226
Phone (830) 423-6410

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1625184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742342400000",
    "number": "1487225207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49 WELLES ST STE 216",
            "city": "GLASTONBURY",
            "state": "CT",
            "postal_code": "060334205",
            "telephone_number": "860-334-5829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 WELLES ST STE 216",
            "city": "GLASTONBURY",
            "state": "CT",
            "postal_code": "060334205",
            "telephone_number": "860-334-5829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "JILLIAN",
        "middle_name": "QUINN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-02",
        "last_updated": "2025-03-19",
        "certification_date": "2025-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "58.011562",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glastonbury, CT

Sources for this page

Verify at the official NPI Registry.