Davida B Unterbach, DSW LCSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

002378 Issued in CT

Practice address

186 Old Ridgefield Rd
Wilton, CT 06897

Phone

(203) 834-7685

Fax

(203) 761-6633

NPI assigned

Dec 27, 2006

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

Other identifiers 1

Other names 1

• Dee B Unterbach Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Previously, effective Sep 8, 2016 through Sep 8, 2026

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444694400000",
    "number": "1568527596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "186 OLD RIDGEFIELD RD",
            "city": "WILTON",
            "state": "CT",
            "postal_code": "06897",
            "telephone_number": "203-834-7685",
            "fax_number": "203-761-6633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "186 OLD RIDGEFIELD RD",
            "city": "WILTON",
            "state": "CT",
            "postal_code": "06897",
            "telephone_number": "203-834-7685",
            "fax_number": "203-761-6633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UNTERBACH",
        "first_name": "DAVIDA",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "DSW LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-27",
        "last_updated": "2015-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CT",
            "license": "002378",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "16019",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11244974",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEE",
            "last_name": "UNTERBACH",
            "middle_name": "B",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Viviane Trinh
• Davide Mark Trinkley, OTD, OTR/L
• Lisa Rose Trofa, ND
• Cortney Marie Tyszka, MS, ATC, LAT
• Stacy R Ullman, PSYD
• Jessica Vazquez
• VC Wilton LLC
• Tracey Velo, FNP-BC
• Jamie Suzanne Vernon, MSCCCSLP
• Cameron Joseph Vigliotti, DPT, ATC, OCS, LAT

• Social Worker in Wilton, CT
• Providers in Wilton, CT by specialty
• Social Worker in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2015; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.