SUZANNE DEROSA (NPI# 1194031849) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194031849 |
| Entity Type | Individual |
| Full Name | SUZANNE DEROSA |
| Credential | LPC |
| Practice Address |
43 Sherman Hill Rd Ste 103 Woodbury CT 06798-3651 |
| Mailing Address |
42 Arvida Rd Wolcott CT 06716-2766 |
| Practice Telephone | 2035098244 |
| Mailing Telephone | 2035098244 |
| Enumeration Date | 2010-08-19 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
001350 | CT | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 1194031849 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 965 S Main St, Waterbury, CT 067061434 | 2035969724 | 2037590566 |
| Street Address |
43 SHERMAN HILL RD STE 103 |
| City | WOODBURY |
| State | CT |
| Zip Code | 06798-3651 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124506266 | Jessica Champagne Lcsw LLC | Social Worker | 43 Sherman Hill Rd Ste 103, Woodbury, CT 06798-3651 | 2018-07-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427655422 | Tara Tranguch | Naturopath | 74 Main Street North, Bldg 2 - Apt 204, Woodbury, CT 06798 | 2020-10-03 |
| 1831469949 | Shannon Marie Alther | Social Worker | 660 Main St S Ste 5, Woodbury, CT 06798 | 2012-01-05 |
| 1942483060 | Karen P Sheehan-wolff | Social Worker | 39 Sherman Hill Road, Cornerstone Professional Park, Suite C101, Woodbury, CT 06798 | 2007-12-12 |
| 1104905462 | Andrea Jill Needleman | Family Medicine | 4 South Pomperaug Ave, Woodbury, CT 06798 | 2006-11-06 |
| 1609801497 | James B Marshall | Dentist | 357 Main Street South, Woodbury, CT 06798 | 2006-07-11 |
| 1629020797 | Karen Bavaro Lawlor | Chiropractor | 2 White Oak Road, Bavaro Chiropractic Center LLC, Woodbury, CT 06798 | 2006-05-17 |
| 1346643251 | Katherine Layman | Naturopath | 787 Main St S Unit A-5, Woodbury, CT 06798 | 2014-10-06 |
| 1972912079 | Stephanie Lynam | Psychologist | 175 Main St S, Woodbury, CT 06798 | 2014-08-04 |
| 1639302847 | Douglas Foster Thompson | Counselor | 51 Sherman Hill Rd, Building A, Suite 104c, Woodbury, CT 06798 | 2009-09-03 |
| 1770562720 | Woodbury Physical Therapy LLC | Physical Medicine & Rehabilitation | 264 Main St S, Ste 200, Woodbury, CT 06798 | 2006-01-10 |
| Find all providers in zip 06798 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235744640 | Paige Berg | Counselor | 6053 Hudson Rd Ste 344, Woodbury, MN 55125-1011 | 2020-09-11 |
| 1891324919 | Amy Ellen Degirolamo | Counselor | 45 Euclid St Ste 201, Woodbury, NJ 08096-4631 | 2020-04-02 |
| 1710518493 | Kelly White | Counselor | 44 Cooper St Ste 109, Woodbury, NJ 08096-4642 | 2020-01-30 |
| 1649815614 | Summer Counseling and Behavioral Health Summer Counseling | Counselor | 1687 Woodlane Dr Ste 208, Woodbury, MN 55125-3047 | 2019-11-13 |
| 1730652058 | Robert Crawford Counseling & Consultation, LLC | Counselor | Robert Crawford Counseling & Consultation, LLC, 44 Cooper Street, Suite 208, Woodbury, NJ 08096 | 2019-01-09 |
| 1528573664 | Cory Lee Baumeister | Counselor | 652 Bielenberg Dr, Woodbury, MN 55125 | 2017-12-12 |
| 1003328816 | Kathleen Engh | Counselor | 6063 Hudson Rd Ste 200, Woodbury, MN 55125-4455 | 2017-11-02 |
| 1780196964 | Tammy Jean Weinke | Counselor | 10300 City Walk Dr Unit 432, Woodbury, MN 55129-6953 | 2017-10-28 |
| 1811416688 | Family Care Connections, LLC | Counselor | 44 Cooper St Ste 6, Woodbury, NJ 08096-4653 | 2017-09-13 |
| 1619495827 | Rachel Champeau Sneve | Counselor | 2165 Woodlane Dr Ste 200, Woodbury, MN 55125-2915 | 2017-09-07 |
| Find all providers in WOODBURY | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.