Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
RAYMOND VINCENT DISTEPHAN, MSW
Active Sole ProprietorRAYMOND VINCENT DISTEPHAN, MSW is a Clinical Social Worker healthcare provider located in BROOKFIELD, Connecticut. NPI 1851803449 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · BROOKFIELD, CT
Registration Details
- NPI Number
- 1851803449
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 3, 2017 (8.7332903737931 yrs)
- Last Updated
- Jun 2, 2023
- License
-
072615-1 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
11 OLD WOODS RDBROOKFIELD, CT, 068043630Browse CT providers · Browse ZIP 06804
- Phone
- 9179229680
- Primary Specialty
-
Clinical Social Worker
1041C0700X
Other Clinical Social Worker Providers in BROOKFIELD, CT
| Name | Credential | NPI |
|---|---|---|
| SHONA CURTIS | LCSW | 1447215322 |
| KATHLEEN REPOLE | LCSW | 1134157084 |
| MRS. DANIELLE LEIGH QUIGLEY | LCSW, LADC | 1699871590 |
| MR. GREGORY G. JONES | MSW/LCSW | 1477636413 |
| MS. JOANNE M. IURATO | LCSW | 1558422410 |
| TRINA L SHUPTAR | CLINICAL SOCIAL WORK | 1891844023 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.