RAYMOND VINCENT DISTEPHAN (NPI# 1851803449) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851803449 |
| Entity Type | Individual |
| Full Name | RAYMOND VINCENT DISTEPHAN |
| Credential | MSW |
| Practice Address |
11 Old Woods Rd Brookfield CT 06804-3630 |
| Practice Telephone | 9179229680 |
| Mailing Telephone | 9179229680 |
| Enumeration Date | 2017-11-03 |
| Last Update Date | 2017-11-03 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
072615-1 | NY | Behavioral Health & Social Service Providers |
| Street Address |
11 OLD WOODS RD |
| City | BROOKFIELD |
| State | CT |
| Zip Code | 06804-3630 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306366620 | Tara Hanlon | Nurse Practitioner | 14 Shamrock Drive, Brookfield, CT 06804 | 2017-06-27 |
| 1558804617 | Total Assurance Home Healthcare | Respite Care | 6 Oak Branch Dr, Brookfield, CT 06804 | 2016-11-22 |
| 1154878619 | Regional Young Men's Christian Association of Western Connecticut, Inc | Health Educator | 241 Federal Road, Unit B21, Brookfield, CT 06804 | 2016-09-01 |
| 1285048330 | Altagracia Trinidad | Counselor | 40 Laurel Hill Rd Unit 308, Brookfield, CT 06804 | 2014-06-17 |
| 1619380276 | Benjamin Burke Clippinger | Orthopaedic Surgery | Greenknoll Professional Center, 60 Old New Milford Road, Suite 3e, Brookfield, CT 06804 | 2014-06-11 |
| 1801140371 | Christina M Muggeo | Physical Therapist | 60 Old New Milford Rd Ste 3a, Brookfield, CT 06804 | 2012-11-05 |
| 1952549099 | Joan P Draper | Ophthalmology | 17 Cove Rd, Brookfield, CT 06804 | 2009-01-28 |
| 1588822035 | Jillian Delorme | Psychologist | 828 Federal Rd Fl 2, Brookfield, CT 06804 | 2008-05-30 |
| 1740488212 | Nicholas Rutigliano | Physical Therapist | 3 Federal Rd Ste 100, Brookfield, CT 06804 | 2007-07-06 |
| 1851431373 | Arnold Stuart Zentner | Psychiatry & Neurology | 4 Twin Rocks Road, Brookfield, CT 06804 | 2007-02-07 |
| Find all providers in zip 06804 | ||||
| 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 |
|---|---|---|---|---|
| 1346848645 | Theresa Marie Mcgorty | Social Worker | 10 Apache Dr, Brookfield, CT 06804-3100 | 2020-10-09 |
| 1174133409 | Jessica Lynn Passero | Social Worker | 875 Lakeview Dr Apt 101, Brookfield, WI 53045-5665 | 2020-08-02 |
| 1720696867 | Samantha Lynn Ferris | Social Worker | 398a Federal Rd Unit 427, Brookfield, CT 06804-2459 | 2020-07-15 |
| 1033772124 | Dbt Consultants LLC | Social Worker | 200 S. Executive Drive, Ste. 101, Brookfield, WI 53005 | 2019-04-15 |
| 1316442239 | Robyn Raquel Armstrong | Social Worker | 25700 Image Rd, Brookfield, MO 64628-8031 | 2018-03-25 |
| 1699224212 | Western Ct Counseling Associates | Social Worker | 300 Federal Road, Suite 209, Brookfield, CT 06804-2412 | 2016-09-23 |
| 1245699859 | Jill Panther | Social Worker | 2445 Memorial Dr, Brookfield, WI 53045-4323 | 2016-02-11 |
| 1184009706 | Katherine Coffey | Social Worker | 54 Berkshire Dr, Brookfield, CT 06804-1435 | 2015-07-24 |
| 1750760138 | Thomas M Foster Psychotherapist | Social Worker | 15 Canterbury Ct, Brookfield, CT 06804-2726 | 2015-05-19 |
| 1073919742 | Laura Merrick | Social Worker | 2 Old New Milford Rd Ste 1b, Brookfield, CT 06804-2426 | 2014-11-07 |
| Find all providers in BROOKFIELD | ||||
| City | BROOKFIELD |
| Zip Code | 06804 |
Please comment or provide details below to improve the information on RAYMOND VINCENT DISTEPHAN.
| 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.