KELSEY DERUSHA LCSW
NPI 1336906619
Social Worker - Clinical in Norwich, CT
About Kelsey Derusha Lcsw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KELSEY DERUSHA LCSW (NPI 1336906619) is an individual clinical provider in Norwich, Connecticut, licensed in Connecticut (13787) and active in the NPI registry since March 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2021).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Kelsey Derusha Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Kelsey Derusha reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Norwich, CT 06360
- Reassigned Medicare billing, Connecticut enrollment
- 430 clinicians in this Medicare group
Willimantic, CT 06226
- Reassigned Medicare billing, Connecticut enrollment
- 302 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 06360 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
NORWICH, CT 06360
NORWICH, CT 06360
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 Kelsey Derusha's NPI number?
The NPI number for Kelsey Derusha is 1336906619. It was assigned to this individual provider in the NPPES registry on March 4, 2024.
Where is Kelsey Derusha located?
Kelsey Derusha practices at 326 Washington St, Norwich, CT 06360. The listed phone number is (860) 889-8331.
What is Kelsey Derusha's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Kelsey Derusha enrolled in Medicare?
Yes. Kelsey Derusha is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Kelsey Derusha's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kelsey Derusha reassigns Medicare benefits to 2 organizations: The William W Backus Hospital (Norwich, CT) and Windham Community Memorial Hospital, Inc. (Willimantic, CT). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kelsey Derusha's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Kelsey Derusha was last updated on March 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.
# Kelsey Derusha, LCSW · NPI 1336906619
Clinical provider in Norwich, Connecticut. Individual provider, active in the CMS NPPES registry since March 4, 2024.
## Identity
- **NPI:** 1336906619 (Entity type: Individual)
- **Enumerated:** March 4, 2024
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** 13787 (Connecticut)
- **Sole proprietor:** No
## Practice location
- **Address:** 326 WASHINGTON ST, Norwich, CT 06360-2740
- **Phone:** (860) 889-8331
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): The William W Backus Hospital (NPI 1467517235, Norwich, CT); Windham Community Memorial Hospital, Inc. (NPI 1023191467, Willimantic, CT) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** March 4, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1336906619) · Data from the CMS NPPES public registry.