MR. STERLING EUGENE DEVERAUX (NPI# 1508823626) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508823626 |
| Entity Type | Individual |
| Full Name | MR. STERLING EUGENE DEVERAUX |
| Credential | MSW |
| Practice Address |
Route 12 Bldg 449 Attn: Professional Affairs Naval Ambulatory Care Center Groton CT 06349-5600 |
| Practice Telephone | 8606942377 |
| Practice Fax Number | 8606942590 |
| Mailing Telephone | 8606942377 |
| Mailing Fax Number | 8606942590 |
| Enumeration Date | 2006-05-01 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | ISW 01677 | RI | Behavioral Health & Social Service Providers |
| Street Address |
ROUTE 12 BLDG 449 ATTN: PROFESSIONAL AFFAIRS NAVAL AMBULATORY CARE CENTER |
| City | GROTON |
| State | CT |
| Zip Code | 06349-5600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710978739 | Joel Walter Larcombe | Family Medicine | Route 12 Bldg 449, Naval Ambulatory Care Center Attn Professional Affairs, Groton, CT 06349-5600 | 2005-10-31 |
| 1801832928 | Ismail Yahyazade | Psychiatry & Neurology | Route 12 Bldg 449, Naval Ambulatory Care Center Attn Professional Affairs, Groton, CT 06349-5600 | 2006-06-20 |
| 1801840095 | Mark Duston Schulthess | Physician Assistant | Route 12 Bldg 449, Naval Ambulatory Care Center Attn Professional Affairs, Groton, CT 06349-5600 | 2006-05-20 |
| 1629051339 | Barbara Ann Mullen | Nurse Practitioner | Route 12 Bldg 449, Naval Ambulatory Care Center Attn Professional Affairs, Groton, CT 06349-5600 | 2005-11-28 |
| 1992788962 | Edward Thomas Moldenhauer | Pharmacist | Route 12 Bldg 449, Naval Ambulatory Care Center Attn Professional Affairs, Groton, CT 06349-5600 | 2005-11-23 |
| 1457334427 | Robert James Branagan | Pharmacist | Route 12 Bldg 449, Naval Ambulatory Care Center Attn Professional Affairs, Groton, CT 06349-5600 | 2005-11-23 |
| 1013990357 | Susan Carpenter | Audiologist | Route 12 Bldg 449, Naval Ambulatory Care Center Attn: Professional Affairs, Groton, CT 06349-5600 | 2005-11-21 |
| 1255313003 | Gail Lee Sanjuan | Nurse Practitioner | Route 12 Bldg 449, Attn Professional Affairs Naval Ambulatory Care Center, Groton, CT 06349-5600 | 2005-11-17 |
| 1265413512 | Beverly Paige | Psychologist | Route 12 Bldg 449, Attn Professional Affairs Naval Ambulatory Care Center, Groton, CT 06349-5600 | 2005-11-11 |
| 1558342485 | Joseph Dean Fitzpatrick | Family Medicine | Route 12 Bldg 449, Naval Ambulatory Care Center Attn Professional Affairs, Groton, CT 06349-5600 | 2005-11-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205434347 | Mvca | Optometrist | Navy Submarine Base New London, Bldg 484, Groton, CT 06349 | 2020-10-12 |
| 1376194274 | Christopher Lee Roy Smith | Military Health Care Provider | Uss San Juan (ssn 751), Groton, CT 06349 | 2019-09-23 |
| 1588127575 | Morgan Ross Jones | Student in an Organized Health Care Education/Training Program | Bx 159 Navsubase Nlon, Groton, CT 06349 | 2019-04-08 |
| 1689179640 | David Saunders | Military Health Care Provider | 159 Navsubase Nlon, Groton, CT 06349 | 2018-03-29 |
| 1013264423 | Dennis Buenaventura Custodio | Military Health Care Provider | 69 Trout Ave, Naval Undersea Medical Institute, Groton, CT 06349 | 2012-08-06 |
| 1609013549 | Nicolas David Mendoza | Military Health Care Provider | Uss Hawaii (ssn 776), Fpo, AE 06349 | 2009-01-14 |
| 1881843084 | Mark Francis Jarvis | Military Health Care Provider | Nssc Nlon, Bldg 76, Groton, CT 06349 | 2008-09-11 |
| 1780882738 | Michael Nutt | Military Health Care Provider | Bldg 517 Taugtog Ave, Navsubscol, Groton, CT 06349 | 2007-07-10 |
| 1497811343 | Keith Benjamin Hoekman | Nurse Practitioner | 1 Wahoo Dr, Groton, CT 06349 | 2006-12-28 |
| 1881604163 | Christina E Toufexis | Pediatrics | 1 Wahoo Drive, Groton, CT 06349 | 2006-08-09 |
| Find all providers in zip 06349 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902211618 | Tammy Meredith Cook | Social Worker | 19 Lowell Rd, 102, Groton, MA 01450-1370 | 2014-06-23 |
| 1295094829 | Emily Ross | Social Worker | 120 Boston Rd Ste 200, Groton, MA 01450-1860 | 2012-05-16 |
| 1205909017 | Joanne Carol Hairy Shirt | Social Worker | 40703 128 St, Groton, SD 57445 | 2006-11-17 |
| 1982616587 | Kathleen Confrey Smith | Social Worker | 481 Goldstar Highway, #301, Groton, CT 06340 | 2006-08-12 |
| 1467468322 | Brittany Lee Valentine | Social Worker | 333 Long Hill Rd, Groton, CT 06340 | 2006-07-31 |
| 1972153781 | Alison Doolittle | Social Worker | 591 Poquonnock Rd, Groton, CT 06340-4571 | 2019-09-13 |
| 1568010551 | Eilish M Conway | Social Worker | 591 Poquonnock Rd, Groton, CT 06340-4571 | 2019-09-03 |
| 1194381988 | Tori Ashley Penner | Social Worker | 591 Poquonnock Rd, Groton, CT 06340-4571 | 2019-05-16 |
| 1669871232 | Kyrah Augmon-bossa | Social Worker | 250 Brandegee Ave, Groton, CT 06340 | 2014-08-19 |
| 1972849289 | Kaileah Christie-fogg | Social Worker | 481 Gold Star Hwy, 301, Groton, CT 06340-6702 | 2012-12-14 |
| Find all providers in GROTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.