Raymond Michael Demers Jr., LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

6753 Issued in CT

Practice address

15 Woodside Cir
Woodbury, CT 06798-1528

Phone

(203) 937-2309

NPI assigned

Jan 10, 2024

Sex

Male

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

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• CT Clinical Services, Inc.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • New Haven, CT
  • NPI 1497025035
  NPD (past)

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

{
    "created_epoch": "1704844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704844800000",
    "number": "1972374833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "189 ORANGE ST",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065102014",
            "telephone_number": "203-937-2309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 WOODSIDE CIR",
            "city": "WOODBURY",
            "state": "CT",
            "postal_code": "067981528",
            "telephone_number": "203-937-2309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMERS",
        "first_name": "RAYMOND",
        "middle_name": "MICHAEL",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-01-10",
        "last_updated": "2024-01-10",
        "certification_date": "2024-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CT",
            "license": "6753",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Phillip Corbi
• Cornerstone Physical Therapy, LLC
• Ellen Cozan Tinios
• Eva Davidson
• Judith Davidson, PHD
• Suzanne Derosa, LPC
• Gina L Donato, RPT
• Matthew Donovan
• Rachel Beth Dorfman, L.AC
• Douglas Thompson, LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2024; 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.