MS. JILL STOCKMAL BENNETT (MSW) – Clinical Social Worker, NPI 1346339835
Clinical Social Worker
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for MS. JILL STOCKMAL BENNETT (MSW)
75, Granite Street, Williams Memorial Park Historic District, Downtown New London, New London, New London County, Connecticut, 06320, United States
NEW LONDON, CT 063205730
Phone: (860) 437-4550
Fax: (860) 437-4552
Type: Location
84, Camp Bethel Road, Tylerville, Haddam, Lower Connecticut River Valley Planning Region, Connecticut, 06438, United States
HADDAM, CT 064381346
Phone:
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2015-04-15
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20150415001671 | I | Clinical Social Worker | CT | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 06320)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | CT | |
| Clinical Social Worker | CT | |
| P S Y C H I A T R Y | CT | |
| - | CT | |
| Marriage And Family Therapist | CT | |
| Marriage And Family Therapist | CT | |
| Clinical Social Worker | CT | |
| Marriage And Family Therapist | CT | |
| Marriage And Family Therapist | CT | |
| Nurse Practitioner | CT |
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