Svetlana Goretaya, LCSW

Primary specialty

CounselorTaxonomy code 101Y00000X

License

ISW03644 Issued in RI

Practice address

35 South County Commons Way
2ND Floor, Suite D8-1
Wakefield, RI 02879

Phone

(401) 282-9221

NPI assigned

Dec 18, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Mar 8, 2025 through Mar 8, 2027

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1608249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701302400000",
    "number": "1053907428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3495 POST RD APT 106",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028867116",
            "telephone_number": "401-282-9221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 SOUTH COUNTY COMMONS WAY",
            "address_2": "2ND FLOOR, SUITE D8-1",
            "city": "WAKEFIELD",
            "state": "RI",
            "postal_code": "02879",
            "telephone_number": "401-282-9221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORETAYA",
        "first_name": "SVETLANA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-18",
        "last_updated": "2023-11-30",
        "certification_date": "2023-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "RI",
            "license": "CSW02250",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "RI",
            "license": "ISW03644",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert S Gilardetti, M.D.
• Chelsea Marie Gleeson, MS CCC-SLP
• Patrick Dean Glenn, PT
• Mercedes Marie Godin, PA-C
• Ana M Gonzalez-Dickenson, MSN, RN
• Jean Paul Gottret Merkel, M.D.
• Chelsea Erin Graham, D.O.
• John D Graham, MD
• Heather Mae Grant, PHARM.D.
• Patricia F Graves, LICSW

• Counselor in Wakefield, RI
• Providers in Wakefield, RI by specialty
• Counselor in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.