Individual provider Active NPI

Deborah Guidetti-Gerwien, LCSW

  • Clinical Social Worker
  • New Britain, CT
National Provider Identifier
1821420563
Registry record updated Aug 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
003931 Issued in CT
Practice address
90 Franklin SQ
New Britain, CT 06051-2607
Phone
(860) 225-3561
Fax
(860) 225-2558
NPI assigned
Aug 5, 2013
Last updated
Aug 5, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2013

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 003931 CT Primary

Addresses

Primary practice location

90 Franklin SQ
New Britain, CT 06051-2607

Mailing address

90 Franklin SQ
New Britain, CT 06051-2607
Phone (860) 225-3561

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, SC2 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
I20140114000317 CT Practitioner - Clinical Social Worker 3173751492 Reassigns benefits to 5 organizations
I20221010000531 SC Practitioner - Clinical Social Worker 3173751492 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Connecticut Mental Health Specialists IncGroup PAC ID 0345130563, 65 clinicians
Value Based Long Term Care K PCGroup PAC ID 1355881418, 61 clinicians

Practice addresses (Care Compare)

270 Farmington Ave
Suite 309
Farmington, CT 06032-1953
Phone (860) 677-5570

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
003931CTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Connecticut Mental Health Specialists Inc Clinical CurrentSince Apr 1, 2023 Accepting new patients
The Connection Inc. CurrentSince May 15, 2014 Accepting new patients
Step Up Care PC LLC Clinical CurrentSince Apr 22, 2019 Accepting new patients
Supportive Care of South Carolina LLC Clinical CurrentSince Sep 1, 2022 Accepting new patients
The Connection Inc. CurrentSince May 15, 2014 Accepting new patients
Sunrise Psychological Services LLC CurrentSince Oct 30, 2018 Accepting new patients
The Connection Inc. Current Accepting new patients
Compassionate Care Counseling LLC CurrentSince Feb 20, 2023 Accepting new patients
The Connection Inc. Past Accepting new patients

Locations

540 Bond St
Bridgeport, CT 06610
Phone (203) 384-6400

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

984 Southford Rd
Middlebury, CT 06762
Phone (203) 758-2400

100 Roscommon Dr
Ste 203
Middletown, CT 06457
Phone (860) 343-5500

245 Orange Ave
Milford, CT 06461
Phone (203) 226-4201

55 Grand St
New Britain, CT 06052
Phone (845) 459-5767

282 Dwight St
New Haven, CT 06511
Phone (203) 777-3216

44 Abbott Ter
Waterbury, CT 06702
Phone (203) 755-4870

27 Randolph Rd
Howell, NJ 07731
Phone (972) 677-7951

Organizations & group practices 10

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": "1375660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375660800000",
    "number": "1821420563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 FRANKLIN SQ",
            "city": "NEW BRITAIN",
            "state": "CT",
            "postal_code": "060512607",
            "telephone_number": "860-225-3561",
            "fax_number": "860-225-2558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 FRANKLIN SQ",
            "city": "NEW BRITAIN",
            "state": "CT",
            "postal_code": "060512607",
            "telephone_number": "860-225-3561",
            "fax_number": "860-225-2558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUIDETTI-GERWIEN",
        "first_name": "DEBORAH",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-05",
        "last_updated": "2013-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "003931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Britain, CT

Sources for this page

Verify at the official NPI Registry.