Jill R Edelman, M.S.W.
Individual provider Active NPI Clinical Social Worker · Redding, CT
NPI 1811995202 · NPPES record last updated Jul 13, 2026
Key facts
- NPI
- 1811995202
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 000210 (CT)
- Practice address
- 9 Shady LN
Redding, CT 06896-2322 - Phone
- (203) 938-9739
- Fax
- (203) 938-9739
- NPI assigned
- Jul 11, 2005
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
- Opted out of Medicare
- Yes, effective Oct 20, 2017 through Oct 20, 2027
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000210 | CT | MD | Podiatrist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 000210 | CT | Yes |
Addresses
Primary practice location
9 Shady LN
Redding, CT 06896-2322
Mailing address
9 Shady LN
Redding, CT 06896-2322
Phone (203) 938-9739
Other providers in Redding, CT
- Lisa Bunce
- C. Vail Counseling Services, LLC
- Jacquelyn Hope Carr
- Anthony Chan
- Elizabeth M Desantis-Correa
- Excel Orthopedic and Sports Physical Therapy
- Lorena Fernandez
- Wendy Fiorio
- Flanagan Family Dentistry
- Katherine Fleming
All providers in Redding, CT · Clinical Social Worker 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 13, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Opt Out Affidavits (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.