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DEBRA R SIDEWATER R.D.,M.S.W.
NPI 1174621064
Social Worker in Newington, CT

Active since September 21, 2006
555 WILLARD AVE, NUTRITION CLINIC, SECOND FLOOR, NEWINGTON, CT 06111(860) 667-6797 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Debra R Sidewater R.d.,m.s.w. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DEBRA R SIDEWATER R.D.,M.S.W. (NPI 1174621064) is an individual social worker in Newington, Connecticut and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1174621064
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameDEBRA R SIDEWATERCredential: R.D.,M.S.W.
Location Address555 WILLARD AVE, NUTRITION CLINIC, SECOND FLOORNewington, CT 06111-2631
Mailing Address21 Vandervere RdWest Hartford, CT 06117-2745 · (860) 232-0780
Phone(860) 667-6797
Sole ProprietorNo
Enumeration DateSeptember 21, 2006
Last NPPES UpdateSeptember 11, 2025
✔ NPI 1174621064 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
Also ListedDietitian, RegisteredTaxonomy 133V00000X · License 000128 (CT)
555 WILLARD AVE, Newington, CT 06111
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Other Identifiers 3

OtherR464768Registered Dietitian
Other1027Certified Diabetes Educat
Other000128CT · Certified Dietitian

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KAYLA GOMES PT, DPT, NCS
Physical Therapist
555 WILLARD AVE
NEWINGTON, CT 06111
Capitol Planning Region (860) 666-6951
MR. DEVIN PATRICK PRAY NP-C
Nurse Practitioner (Primary Care)
555 WILLARD AVE
NEWINGTON, CT 06111
Capitol Planning Region (860) 666-6951
DEPARTMENT OF VETERAN AFFAIRS
General Acute Care Hospital
555 WILLARD AVE, 2C-1147
NEWINGTON, CT 06111
Capitol Planning Region (860) 594-6353
DR. DONALD J CURRAN M.D.
Internal Medicine
555 WILLARD AVE
NEWINGTON, CT 06111
Capitol Planning Region (860) 594-6393
DR. VINCENT ANDREW THOREN OD (OPTOMETRY)
Optometrist
555 WILLARD AVE
NEWINGTON, CT 06111
Capitol Planning Region (203) 558-0119
LYNDA JAEGER COTA
Occupational Therapy Assistant
555 WILLARD AVE
NEWINGTON, CT 06111
Capitol Planning Region (860) 594-6369
CHRISTINA A PLANTIER PA-C
Physician Assistant (Medical)
555 WILLARD AVE
NEWINGTON, CT 06111
Capitol Planning Region (866) 808-7921
MAYA LEILA NASSER
Student in an Organized Health Care Education/Training Program
555 WILLARD AVE
NEWINGTON, CT 06111
Capitol Planning Region (860) 666-6951

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Debra Sidewater's NPI number?

The NPI number for Debra Sidewater is 1174621064. It was assigned to this individual provider in the NPPES registry on September 21, 2006.

Where is Debra Sidewater located?

Debra Sidewater practices at 555 Willard Ave Nutrition Clinic, Second Floor, Newington, CT 06111. The listed phone number is (860) 667-6797.

What is Debra Sidewater's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

When was this NPI record last updated?

The NPPES record for Debra Sidewater was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.