Gillian Verrastro, LCSW, Ladc, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

GILLIAN VERRASTRO, LCSW, LADC, LLC

Practice address

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

Phone

(203) 981-0597

NPI assigned

Jun 2, 2020

Organization subpart

No

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

Authorized official

Name

Gillian VerrastroNPI 1013104744

Title

Owner

Phone

(203) 981-0597

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gillian Verrastro, LCSW

  • Clinical Social Worker
  • Sandy Hook, CT
  • NPI 1013104744
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1591056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688947200000",
    "number": "1154945533",
    "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": {
        "organization_name": "GILLIAN VERRASTRO, LCSW, LADC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-02",
        "last_updated": "2023-07-10",
        "certification_date": "2023-07-10",
        "status": "A",
        "authorized_official_last_name": "VERRASTRO",
        "authorized_official_first_name": "GILLIAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-981-0597"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004123840",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kathryn Ellsworth Flynn, MSW/LCSW #000317
• Leah Fogelman
• William Joseph Fornara, MS COUNSELING
• Lawanda Frederick, LPCA
• Heather Christine Gatesman, FNP
• Julia Givens
• Glory Days, LLC Dba Old Glory Days
• Steven Glykokokalos, PT, DPT
• Lauren Gomola, LPCA
• Patricia M Grace-Farfaglia, R.D.

• Clinical Social Worker in Sandy Hook, CT
• Providers in Sandy Hook, CT by specialty
• Clinical Social Worker in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.