RAYMOND VINCENT DISTEPHAN


Address: 11 Old Woods Rd, Brookfield, CT 06804-3630
Phone: 9179229680

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1041C0700X Social Worker
Specialization: Clinical
072615-1 NY Behavioral Health & Social Service Providers

Office Location

Street Address 11 OLD WOODS RD
City BROOKFIELD
State CT
Zip Code 06804-3630

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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
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Taxonomy Information

Taxonomy Code 1041C0700X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker
Specialization Clinical

Taxonomy Definition

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]

Providers in the same taxonomy and city

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
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Competitor

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City BROOKFIELD
Zip Code 06804

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Dataset Information

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.

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