PHETSAMON DILULLO (NPI# 1982168688) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982168688 |
| Entity Type | Individual |
| Full Name | PHETSAMON DILULLO |
| Practice Address |
32 Maple Ave Windsor CT 06095-2922 |
| Practice Telephone | 8609739171 |
| Mailing Telephone | 8609739171 |
| Enumeration Date | 2019-01-27 |
| Last Update Date | 2019-04-12 |
| NPI Deactivation Date | 02/11/2019 |
| NPI Reactivation Date | 2019-04-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
010163 | CT | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 32 Maple Ave, Windsor, CT 060952922 | 8609739171 |
| Street Address |
32 MAPLE AVE |
| City | WINDSOR |
| State | CT |
| Zip Code | 06095-2922 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578552626 | Heath Henry Hightower | Social Worker | 32 Maple Ave, Windsor, CT 06095-2922 | 2005-10-20 |
| 1811453269 | Connecticut Therapeutic Counseling LLC | Social Worker | 32 Maple Ave, Windsor, CT 06095-2922 | 2019-02-11 |
| 1164986865 | Cherese Tucker | Social Worker | 32 Maple Ave, Windsor, CT 06095-2922 | 2019-01-27 |
| 1376669648 | Jennifer Ann Lewis | Social Worker | 32 Maple Ave, Windsor, CT 06095-2922 | 2007-03-21 |
| 1285764415 | Daniel Efrem Weiss | Psychologist | 32 Maple Ave, Windsor, CT 06095-2922 | 2007-03-06 |
| 1992894315 | Thomas Daniel Patenaude | Psychologist | 32 Maple Ave, Windsor, CT 06095-2922 | 2006-10-12 |
| 1063500601 | Jennine M. Gialopsos | Social Worker | 32 Maple Ave, Windsor, CT 06095 | 2006-10-10 |
| 1164431698 | Patricia Langevin James | Social Worker | 32 Maple Ave, Windsor, CT 06095-2922 | 2006-08-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285255992 | Dnd Group of Companies LLC | Psychologist | 204 Old Village Cir, Windsor, CT 06095 | 2020-05-04 |
| 1811467442 | Joseph C Gaetani Jr. | Specialist | 340 Broad Street Suite 320, Windsor, CT 06095 | 2018-11-27 |
| 1447629043 | Brittany Higginbotham | Marriage & Family Therapist | 347 Park Avenue, Windsor, CT 06095 | 2015-09-24 |
| 1457737454 | Eric Han | Dentist | 697 Poquonock Ave, Windsor, CT 06095 | 2015-08-03 |
| 1265780894 | Annetta Ruth Troche | Nurse Practitioner | 22 Parkwood Drive, Windsor, CT 06095 | 2012-08-29 |
| 1821234006 | Milna Rosario | Social Worker | 6 Poquonock Avenue, Windsor, CT 06095 | 2008-12-18 |
| 1962686824 | Kimberly Ju Kim | Pediatrics | 820 C Prospect Hill Road, Windsor, CT 06095 | 2007-12-27 |
| 1972708758 | Price Chopper Inc | Pharmacy | 675 Poquoncock Ave, Windsor, CT 06095 | 2007-06-20 |
| 1396870358 | Occupational Health Centers of The Southwest, P.a., P.C. | Clinic/Center | 1080 Day Hill Road, Windsor, CT 06095 | 2007-02-22 |
| 1841342094 | Thomas F. Reif | Psychologist | 32 Maple Avenue, Windsor, CT 06095 | 2007-01-17 |
| Find all providers in zip 06095 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013538149 | Amy Joy Parent | Social Worker | 13 North Cir, Windsor, CT 06095-2420 | 2020-04-29 |
| 1518443027 | Professional Institute for Clinical Service, LLC | Social Worker | 360 Bloomfield Ave Ste 306, Windsor, CT 06095-2700 | 2018-07-17 |
| 1417409731 | Crystal Noel Meredith | Social Worker | 385 Antora Ct, Windsor, CO 80550-3239 | 2016-11-03 |
| 1063963072 | Kathryn Jacobs | Social Worker | 111 Cricket Ct, Windsor, CA 95492-7950 | 2016-10-14 |
| 1063873875 | Cassandra Williams | Social Worker | 2189 Grain Bin Ct, Windsor, CO 80550-3427 | 2016-03-08 |
| 1134588403 | Anne Marie Kelly | Social Worker | 82 State St, Windsor, VT 05089-1276 | 2016-02-16 |
| 1588050272 | Lauren Elizabeth Maloney | Social Worker | 1 Lang Rd, Windsor, CT 06095-1514 | 2015-04-09 |
| 1245649128 | Terraine Jamison | Social Worker | 581 Bloomfield Ave, Windsor, CT 06095-6095 | 2014-08-05 |
| 1154752673 | Tabitha A Scott | Social Worker | 9291 Old Redwood Hwy # 500, Windsor, CA 95492-8089 | 2013-12-09 |
| 1396187928 | Donna Vibes | Social Worker | 34 Lighthouse Hill Rd, Windsor, CT 06095-1210 | 2013-07-24 |
| Find all providers in WINDSOR | ||||
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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.