Amy Destro, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

10230 Issued in CT

Practice address

435 Chapel Rd Ste E
South Windsor, CT 06074-4157

Phone

(774) 334-1233

NPI assigned

Jun 18, 2018

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Amy Destro, LCSW, LLC

  • Clinical Social Worker
  • South Windsor, CT
  • NPI 1952872970
  NPD Authorized official

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

{
    "created_epoch": "1529280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689033600000",
    "number": "1720572381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "435 CHAPEL RD STE E",
            "city": "SOUTH WINDSOR",
            "state": "CT",
            "postal_code": "060744157",
            "telephone_number": "774-334-1233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 CHAPEL RD STE E",
            "city": "SOUTH WINDSOR",
            "state": "CT",
            "postal_code": "060744157",
            "telephone_number": "774-334-1233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESTRO",
        "first_name": "AMY",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-18",
        "last_updated": "2023-07-11",
        "certification_date": "2023-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "10230",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Debi Shearer, LMFT, LLC
• Evelyne Irimies Deloughery, APRN
• Dental Services of South Windsor, LLC
• Dental Team of South Windsor
• Michele M Dery
• Anna C Devitt, MSN, FNP-BC, APNP
• Rebecca Dewald
• Tyler T Dewhurst, APRN
• Heather Ann Dibiaso, OTR
• Lauren Dickson, PHARMD

• Clinical Social Worker in South Windsor, CT
• Providers in South Windsor, 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 Jul 11, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.