Terraine Jamison | Windsor, CT • PECOS Search

Terraine Jamison

Social Worker

Behavioral Health & Social Service Providers

581 Bloomfield Ave, Windsor, CT 06095-6095

PECOS Enrollment

Based on the most recent information from CMS, provider Terraine Jamison does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1245649128
Provider Type
Individual
Full Name
Jamison, Terraine
Title
Miss
Credential
LCSW

Gender
Female
Sole Proprietor
Yes
Enumeration Date
8/5/2014
Last Updated
8/5/2014

Contact Information

Practice Location

581 Bloomfield Ave, Windsor, CT 06095-6095

Unlisted Fax

Mailing Location

581 Bloomfield Ave, Windsor, CT 06095

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License 006664 Connecticut