Individual provider Active NPI

Gillian Verrastro, LCSW

  • Clinical Social Worker
  • Sandy Hook, CT
National Provider Identifier
1013104744
Registry record updated Apr 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
006244 Issued in CT
Practice address
27 Glen Rd Ste 306
Sandy Hook, CT 06482-1193
Phone
(203) 981-0597
NPI assigned
Sep 26, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 2, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 006244 CT Primary

Addresses

Primary practice location

27 Glen Rd Ste 306
Sandy Hook, CT 06482-1193

Mailing address

27 Glen Rd Ste 306
Sandy Hook, CT 06482-1193
Phone (203) 981-0597

Other identifiers 1

IdentifierTypeStateIssuer
004123840MedicaidCT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200707001279 CT Practitioner - Clinical Social Worker 6406279603 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

27 Glen Rd
Suite 306
Sandy Hook, CT 06482-1193
Phone (203) 981-0597

41 N Mountain Rd
Brookfield, CT 06804-1032
Phone (203) 981-0597

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
006244CTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Gillian Verrastro, LCSW, Ladc, LLC Clinical CurrentSince Jun 3, 2020 Accepting new patients

Locations

27 Glen Rd
Ste 306
Sandy Hook, CT 06482
Phone (203) 981-0597

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1190764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617321600000",
    "number": "1013104744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 GLEN RD STE 306",
            "city": "SANDY HOOK",
            "state": "CT",
            "postal_code": "064821193",
            "telephone_number": "203-981-0597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 GLEN RD STE 306",
            "city": "SANDY HOOK",
            "state": "CT",
            "postal_code": "064821193",
            "telephone_number": "203-981-0597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERRASTRO",
        "first_name": "GILLIAN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-26",
        "last_updated": "2021-04-02",
        "certification_date": "2021-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "006244",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004123840",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandy Hook, CT

Sources for this page

Verify at the official NPI Registry.