| Jillian Russell, LCSW | |
|
16 Hawthorne Ct, Higganum, CT 06441-4281 | |
| (860) 335-6145 | |
| Not Available |
| Full Name | Jillian Russell |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 16 Hawthorne Ct, Higganum, Connecticut |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023658564 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 12308 (Connecticut) | Primary |
| Entity Name | The Hospital Of Connecticut At New Britain And Bradley Memorial |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063461481 PECOS PAC ID: 6507776564 Enrollment ID: O20040115000497 |
| Entity Name | Midstate Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154425288 PECOS PAC ID: 7416840699 Enrollment ID: O20040203000244 |
| Entity Name | Community Health Resources, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215979810 PECOS PAC ID: 5597652149 Enrollment ID: O20040301000155 |
| Mailing Address | Practice Location Address |
|---|---|
| Jillian Russell, LCSW 16 Hawthorne Ct, Higganum, CT 06441-4281 Ph: (860) 335-6145 | Jillian Russell, LCSW 16 Hawthorne Ct, Higganum, CT 06441-4281 Ph: (860) 335-6145 |
Brooke Conley, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 263 Saybrook Rd, Higganum, CT 06441 Phone: 718-687-9832 | |
Mr. Christopher Sean Carlin, LCSW Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 415 Killingworth Rd, Suite # 9, Higganum, CT 06441 Phone: 860-532-0604 | |
Nicole Buxton, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 48 Killingworth Rd, Higganum, CT 06441 Phone: 203-951-9635 | |
Anna Eleanor Tralli, MSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 48 High St, Higganum, CT 06441 Phone: 860-575-4027 | |
Brenda Joy Buzzi, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 133 Christian Hill Rd, Higganum, CT 06441 Phone: 860-301-6561 |