Jennifer Anne Andrade, PSY.D. – Clinical Psychologist

Key facts

NPI: 1508974288
Entity type: Individual (NPI type 1)
Primary specialty: Clinical Psychologist 103TC0700X
License: 002634 (CT)
Practice address: 80 Garden St
Wethersfield, CT 06109-3120
Phone: (860) 836-5490
Fax: (860) 529-7820
NPI assigned: Aug 25, 2006
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.

Sharon E. Cutts, LCSW, LLC Clinical Social Worker · Wethersfield, CT · NPI 1912134578

NPD (past)

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): Yes

State licenses

License	State	Type	Specialty
002634	CT	MD	Physical Therapist

Practice roles

Organization	Specialty	Status	New patients
Sharon E. Cutts, LCSW, LLC		Past	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Clinical Psychologist	103TC0700X	002634	CT	Yes

Addresses

Primary practice location

80 Garden St
Wethersfield, CT 06109-3120

Mailing address

24 Tunxis Rd
Newington, CT 06111-3441
Phone (860) 436-2036

Other identifiers

Identifier	Type	State	Issuer
0060002634CT01	Other	CT	ANTHEM BLUE CROSS BLUE SH

Other providers in Wethersfield, CT

All providers in Wethersfield, CT · Clinical Psychologist in Connecticut

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.