GLORIA DZEROVYCH (NPI# 1659511095) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659511095 |
| Entity Type | Individual |
| Full Name | GLORIA DZEROVYCH |
| Credential | LCSW |
| Practice Address |
130 Division Street Griffin Hospital Derby CT 06418 |
| Practice Telephone | 2037327550 |
| Practice Fax Number | 2037321550 |
| Mailing Telephone | 2037327550 |
| Mailing Fax Number | 2037321550 |
| Enumeration Date | 2009-02-25 |
| Last Update Date | 2009-02-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
001149 | CT | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | HOSPITAL PTAN | D400000287 | 01 |
| Street Address |
130 DIVISION STREET GRIFFIN HOSPITAL |
| City | DERBY |
| State | CT |
| Zip Code | 06418 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497818462 | Kenneth S Spector | Internal Medicine | 130 Division Street, Derby, CT 06418 | 2006-12-19 |
| 1790305159 | Inshiya Lowai Dawoodi | Student in an Organized Health Care Education/Training Program | 130 Division Street, Griffin Hospital, Derby, CT 06418 | 2020-04-25 |
| 1437647468 | Nisar Muhammad Khan | Student in an Organized Health Care Education/Training Program | 130 Division Street, Derby, CT 06418 | 2018-04-25 |
| 1760881338 | Julie Shattuck Heher | Nurse Practitioner | 130 Division Street, Derby, CT 06418-1326 | 2014-08-19 |
| 1649689415 | Ashley Dizney | Nurse Practitioner | 130 Division Street, Derby, CT 06418-1326 | 2014-08-06 |
| 1912324815 | Melissa Mitri | Dietitian, Registered | 130 Division Street, Derby, CT 06418 | 2014-03-28 |
| 1225368954 | Brooke Lillie | Counselor | 130 Division Street, Griffin Hospital, Derby, CT 06418 | 2009-12-31 |
| 1588803381 | Rita Tropper | Social Worker | 130 Division Street, Griffin Hospital, Derby, CT 06418 | 2009-02-18 |
| 1053565762 | Thomas Heffernan | Counselor | 130 Division Street, Griffin Hospital, Derby, CT 06418 | 2008-11-07 |
| 1528216421 | Virginia Breeden | Counselor | 130 Division Street, Griffin Hospital, Derby, CT 06418 | 2008-09-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942839105 | Fnu Prinkiya | Student in an Organized Health Care Education/Training Program | Griffin Hospital. 130 Division St, Derby, CT 06418 | 2020-04-08 |
| 1942837935 | Ivanshi A Gondalia | Student in an Organized Health Care Education/Training Program | Griffin Hospital, 130 Division St, Derby, CT 06418 | 2020-03-27 |
| 1972168094 | Pir Saad | Student in an Organized Health Care Education/Training Program | C/o Margie Bliga, Department of Medical Education, Griffin Hospital, 130 Division St, Derby, CT 06418 | 2019-05-03 |
| 1295398899 | Ahtsham Yousaf Chaudhary | Student in an Organized Health Care Education/Training Program | 130 Division St, Griffin Hospital, Derby, CT 06418 | 2019-04-18 |
| 1477016376 | Rabia Usman | Student in an Organized Health Care Education/Training Program | 130 Division St. Griffin Hospital, Derby, CT 06418 | 2019-04-09 |
| 1932661428 | Meshal Qaiser | Student in an Organized Health Care Education/Training Program | 130 Division Street Griffin Hospital, Derby, CT 06418 | 2019-04-03 |
| 1275027666 | Victoria Anne Hodge Enquist | Social Worker | 241 Seymour Avenue, Griffin Hospital Iop, Seymour, CT 06418 | 2018-06-19 |
| 1811485758 | Nimeshayan Varatharajah | Student in an Organized Health Care Education/Training Program | Griffin Hospital, 130 Division St., Derby, CT 06418 | 2018-04-26 |
| 1851889836 | Pete Prashamsa Shenoy | Student in an Organized Health Care Education/Training Program | Griffin Hospital (dpt of Graduate Medical Education), 130 Division St., Derby, CT 06418 | 2018-04-25 |
| 1639696594 | Samantha Leigh Bassett | Counselor | 90 Sodom Lane, Derby, CT 06418 | 2017-08-23 |
| Find all providers in zip 06418 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063918571 | Amy Tinney | Social Worker | 42 Coppola Ter, Derby, CT 06418-1131 | 2018-04-03 |
| 1477065407 | Twin Peaks Counseling, LLC | Social Worker | 303 Roosevelt Dr, Derby, CT 06418-1629 | 2017-10-31 |
| 1942699459 | Cathy Louisa Pepe | Social Worker | 39 Harold Ave, Derby, CT 06418-2315 | 2015-01-21 |
| 1275777328 | Derby Emotional Wellness | Social Worker | 1721 E Osage, Suite 300, Derby, KS 67037-2290 | 2009-04-20 |
| 1841348562 | Rona B Wall | Social Worker | 100 Elizabeth St, 2nd Floor, Derby, CT 06418-1819 | 2007-01-08 |
| 1477637403 | Patricia Donati | Social Worker | 183 Elizabeth St, Derby, CT 06418-1813 | 2006-10-25 |
| 1336229012 | Rebecca Willow Senzer | Social Worker | 59 Elizabeth St, Suite 201, Derby, CT 06418-1852 | 2006-10-16 |
| 1063525764 | Barbara Ann Wolfrum | Social Worker | 984 Backus Rd, Derby, NY 14047-9511 | 2006-08-16 |
| 1740243237 | Catherine I Baker | Social Worker | 425 N Baltimore, Ste 1, Derby, KS 67037 | 2006-04-07 |
| 1972507457 | Alicia M Landsverk | Social Worker | 1721 E Osage Rd, Ste 300, Derby, KS 67037-2092 | 2005-06-13 |
| Find all providers in DERBY | ||||
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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.