Natacha Jaboin Kerelejza, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

006421 Issued in CT

Practice address

290 Pratt Street
Meriden, CT 06450-8600

Phone

(203) 910-8079

Fax

(203) 405-5003

NPI assigned

Mar 13, 2017

Last updated

May 24, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Clinical Social Worker

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Dream Wise, LLC

  • Clinical Social Worker
  • Meriden, CT
  • NPI 1376064436
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1489363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621814400000",
    "number": "1235670035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 1907",
            "city": "MERIDEN",
            "state": "CT",
            "postal_code": "064507059",
            "telephone_number": "203-910-8079",
            "fax_number": "203-405-5803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "290 PRATT STREET",
            "city": "MERIDEN",
            "state": "CT",
            "postal_code": "064508600",
            "telephone_number": "203-910-8079",
            "fax_number": "203-405-5003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KERELEJZA",
        "first_name": "NATACHA",
        "middle_name": "JABOIN",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-13",
        "last_updated": "2021-05-24",
        "certification_date": "2021-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "006421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Malik J Kelly, MD
• Peter James Kelly, CRNA
• Simone V Kennedy, PA-C
• Thomas Martin Kennedy, M.D.
• Brenna Keogh, APRN
• Sharlene Beth Kerelejza, LMSW
• Kathryn Ketchum, COTA/L
• Arooba T Khan
• Zoheir Khan, MD
• Phirin Khen, PHARMD

• Clinical Social Worker in Meriden, CT
• Providers in Meriden, 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 May 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.