Jillian Jacobs, LCSW

NPI 1639444227 · on the registry since 2012 · sole proprietor

Practice

Address: 91 Northwest Dr
Plainville, CT 06062
Phone: (860) 793-7245
Fax: (860) 793-3369
Organisation at this address: Wheeler Clinic Inc
Wheeler Clinic Inc
Genoa Healthcare Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 437

Registry record

Primary taxonomy: 1041C0700X
1041C0700X
Also registered as: 1041C0700X
Licence states on file: NJ, CT
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2018-12-18

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Connecticut