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, and ordering and referring status from the CMS PECOS system.
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.
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
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.
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
- **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.