Individual provider Active NPI

Gilda Stern Orwasher, LCSW, PH.D.

  • Clinical Social Worker
  • Stamford, CT
National Provider Identifier
1710053475
Registry record updated Feb 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
005861 Issued in CT
Practice address
25 Washington CT
Stamford, CT 06902-2346
Phone
(203) 984-3935
Fax
(203) 229-9593
NPI assigned
Nov 27, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 11, 2009

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 005861 CT Primary

Addresses

Primary practice location

25 Washington CT
Stamford, CT 06902-2346

Mailing address

1771 Post Rd E
Suite 317
Westport, CT 06880-5606
Phone (203) 984-3935

Other identifiers 2

IdentifierTypeStateIssuer
004172920MedicaidCT
004172912MedicaidCT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
005861CTMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1164585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1234310400000",
    "number": "1710053475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1771 POST RD E",
            "address_2": "SUITE 317",
            "city": "WESTPORT",
            "state": "CT",
            "postal_code": "068805606",
            "telephone_number": "203-984-3935",
            "fax_number": "203-226-9593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 WASHINGTON CT",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069022346",
            "telephone_number": "203-984-3935",
            "fax_number": "203-229-9593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORWASHER",
        "first_name": "GILDA",
        "middle_name": "STERN",
        "name_prefix": "Dr.",
        "credential": "LCSW, PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-27",
        "last_updated": "2009-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "005861",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004172920",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004172912",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stamford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.