Jennette Miller

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

10 Fort Hill Rd Ste 1
Groton, CT 06340-4760

Phone

(203) 868-1850

Fax

(860) 415-8385

NPI assigned

Jun 28, 2010

Sex

Female

Sole proprietor

No

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 and National Provider Directory roles.

• Child and Family Agency of Southeastern Connecticut, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • New London, CT
  • NPI 1215393327
  Medicare reassignment NPD
• Child and Family Agency of Southeastern Connecticut, Inc.

  • Clinic/Center
  • New London, CT
  • NPI 1225797921
  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": "1277683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771459200000",
    "number": "1780995563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 FORT HILL RD STE 1",
            "city": "GROTON",
            "state": "CT",
            "postal_code": "063404760",
            "telephone_number": "203-868-1850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 FORT HILL RD STE 1",
            "city": "GROTON",
            "state": "CT",
            "postal_code": "063404760",
            "telephone_number": "203-868-1850",
            "fax_number": "860-415-8385"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "75 Granite St",
            "address_purpose": "LOCATION",
            "city": "New London",
            "state": "CT",
            "postal_code": "063205770",
            "country_code": "US",
            "telephone_number": "860-442-2797",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "JENNETTE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-28",
        "last_updated": "2026-02-19",
        "certification_date": "2026-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marc Allan Meuth
• Shayla Marie Michel, LMFT
• Michelle Bussolotti, LMFT
• Nicholas Mihalecz, IDC
• Eleni Milas, D.M.D.
• Matthew Braden Burns Miller, DDS
• Renay Miller, BSC(PHARMACY)
• Dawn Mingione, M.S. CCC-SLP
• Matthew John Mitchell, IDC
• Mark William Mittauer, MD

• Clinical Social Worker in Groton, CT
• Providers in Groton, 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 Feb 19, 2026; 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.