Individual provider Active NPI

Donald Ray Sirry

  • Clinical Social Worker
  • Woodbridge, CT
National Provider Identifier
1558753897
Registry record updated Oct 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
130 Issued in CT
Practice address
30 Hazel Ter Ste 11
Woodbridge, CT 06525-2240
Phone
(203) 819-7650
NPI assigned
Feb 24, 2015
Last updated
Oct 14, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2025

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 130 CT Primary

Addresses

Primary practice location

30 Hazel Ter Ste 11
Woodbridge, CT 06525-2240

Mailing address

30 Hazel Ter Ste 1
Woodbridge, CT 06525-2240
Phone (203) 819-7650

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, VA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20161128001118 CT Practitioner - Clinical Social Worker 0941589485 Reassigns benefits to 2 organizations
I20190516003140 VA Practitioner - Clinical Social Worker 0941589485 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
TR Counseling and Wellness LLCGroup PAC ID 4880939065, 2 clinicians

Practice addresses (Care Compare)

30 Hazel Ter
Suite 11
Woodbridge, CT 06525-2240
Phone (203) 819-7650

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
130CTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Connecticut Mental Health Specialists Inc Clinical CurrentSince May 1, 2021 Accepting new patients
Chesterfield Family Guidance Center Clinical CurrentSince Apr 1, 2019 Accepting new patients
TR Counseling & Wellness LLC CurrentSince Jun 22, 2023 Accepting new patients
Shoreline Center for Family Counseling & Psychotherapy, LLC Clinical Past Accepting new patients

Locations

270 Farmington Ave
Ste 309
Farmington, CT 06032
Phone (860) 677-5570

30 Hazel Ter
Ste 11
Woodbridge, CT 06525
Phone (203) 726-0109

6603 Irongate Sq
North Chesterfield, VA 23234

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1424736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760400000000",
    "number": "1558753897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 HAZEL TER STE 1",
            "city": "WOODBRIDGE",
            "state": "CT",
            "postal_code": "065252240",
            "telephone_number": "203-819-7650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 HAZEL TER STE 11",
            "city": "WOODBRIDGE",
            "state": "CT",
            "postal_code": "065252240",
            "telephone_number": "203-819-7650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIRRY",
        "first_name": "DONALD",
        "middle_name": "RAY",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-02-24",
        "last_updated": "2025-10-14",
        "certification_date": "2025-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbridge, CT

Sources for this page

Verify at the official NPI Registry.