Dream Wise, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

006421 Issued in CT

Legal business name

DREAM WISE, LLC

Practice address

290 Pratt Street
Meriden, CT 06450-8600

Phone

(203) 910-8079

Fax

(203) 405-5803

NPI assigned

Jun 29, 2017

Last updated

May 3, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Natacha Kerelejza, LCSWNPI 1235670035

Title

Owner

Phone

(203) 910-8079

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, and the practitioner matching its NPPES authorized official.

• Natacha Jaboin Kerelejza, LCSW

  • Clinical Social Worker
  • Meriden, CT
  • NPI 1235670035
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1498694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620000000000",
    "number": "1376064436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1907",
            "city": "MERIDEN",
            "state": "CT",
            "postal_code": "064507059",
            "telephone_number": "203-910-8079",
            "fax_number": "203-405-8600"
        },
        {
            "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": "203-405-5803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DREAM WISE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-29",
        "last_updated": "2021-05-03",
        "certification_date": "2021-05-03",
        "status": "A",
        "authorized_official_last_name": "KERELEJZA",
        "authorized_official_first_name": "NATACHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-910-8079",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "006421",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008072080",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dr Jack Herrle OD
• Dr. Bertolli OD & Associates LLC
• Dr. Kevin P. Langan, DMD & Dr. Kevin S. Frank, DMD, LLC
• Dr.Aucello & Associates, P.C.
• Ellen F Drazner, DMD
• Gwen Drexler, LCSW
• Logan Dubell, LCSW
• Virginia Gaudio Duclos
• Michael Duda, PHARMD
• Diane J. Duffy Burns, RPT

• 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 3, 2021; 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.