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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JILL M LARSON, BS

Active Sole Proprietor

JILL M LARSON, BS is a Clinical Social Worker healthcare provider located in PRESTON, Connecticut. NPI 1336422708 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · PRESTON, CT

Registration Details

NPI Number
1336422708
Provider Type
Individual
Gender
Female
NPI Issued
Sep 22, 2011 (14.866180667667 yrs)
Last Updated
Nov 9, 2015
Licenses
009138 (CT)
18215 (MD)
Sole Proprietor
Yes

Practice Information

Address
124 ROUTE 2A
PRESTON, CT, 063658537
Browse CT providers · Browse ZIP 06365
Phone
6122328367
Primary Specialty
Clinical Social Worker
1041C0700X
Additional Specialty
Clinical Social Worker

Other Clinical Social Worker Providers in PRESTON, CT

Name Credential NPI
CAROLYN ANN TRASKO MSW, LCSW 1639235534
DAWN M GUNTNER LCSW 1770354094
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.