| Jessica H Clancy, | |
| 675 Tower Ave, Suite 301, Hartford, CT 06112-1273 | |
| (860) 714-2750 | |
| (860) 714-8591 | 
| Full Name | Jessica H Clancy | 
|---|---|
| Gender | Female | 
| Speciality | Social Worker - Clinical | 
| Location | 675 Tower Ave, Hartford, Connecticut | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1124252804 | NPI | - | NPPES | 
| PENDING | Medicaid | CT | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 006694 (Connecticut) | Primary | 
| Entity Name | Trinity Health Of New England Provider Network Organization Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1003882812 PECOS PAC ID: 0941113567 Enrollment ID: O20031110000651 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Jessica H Clancy, 675 Tower Ave, Suite 301, Hartford, CT 06112-1273 Ph: (860) 714-2750 | Jessica H Clancy, 675 Tower Ave, Suite 301, Hartford, CT 06112-1273 Ph: (860) 714-2750 | 
| Mr. Glenn Gregory Gemma, L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 555 Franklin Ave, Hartford, CT 06114 Phone: 860-756-8669 | |
| Laurel Barrett, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 331 Wethersfield Ave, Hartford, CT 06114 Phone: 860-971-4761 | |
| Maryellen Thomson Sciallo, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1680 Albany Ave, Hartford, CT 06105 Phone: 860-236-4511 | |
| Charlene Ann Snipes, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 500 Vine Street, Hartford, CT 06112 Phone: 860-297-0905 Fax: 860-297-0914 | |
| Mr. David Susanin, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 500 Vine St, Hartford, CT 06112 Phone: 860-297-0810 Fax: 860-293-6356 | |
| Ms. Rebecca Jennifer Robotham, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 65 Osten Blvd, Hartford, CT 06106 Phone: 860-729-2069 | |
| Mrs. Joelle L. Figueroa, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 331 Wethersfield Ave, Hartford, CT 06114 Phone: 860-236-4511 |