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RAYMOND VINCENT DISTEPHAN MSW
NPI 1851803449
Social Worker - Clinical in Brookfield, CT

Active since November 03, 2017
11 OLD WOODS RD, BROOKFIELD, CT 06804(917) 922-9680 Get Directions Write a Review

NPPES record last updated: June 2, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 2, 2023, Nov 3, 2017 (2 updates tracked since 2017).

About Raymond Vincent Distephan Msw NPPES

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

RAYMOND VINCENT DISTEPHAN MSW (NPI 1851803449) is an individual clinical provider in Brookfield, Connecticut, licensed in New York (072615-1) and active in the NPI registry since November 2017.

NPPES Registry Identity

NPI1851803449
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameRAYMOND VINCENT DISTEPHANCredential: MSW
Location Address11 OLD WOODS RDBrookfield, CT 06804-3630
Mailing Address11 Old Woods RdBrookfield, CT 06804-3630 · (917) 922-9680
Phone(917) 922-9680
Sole ProprietorYes
Enumeration DateNovember 3, 2017
Last NPPES UpdateJune 2, 20232 updates tracked since enumeration
NPPES CertifiedJune 2, 2023
✔ NPI 1851803449 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in NY · 072615-1
Definition
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.
11 OLD WOODS RD, Brookfield, CT 06804
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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 Raymond Distephan's NPI number?

The NPI number for Raymond Distephan is 1851803449. It was assigned to this individual provider in the NPPES registry on November 3, 2017.

Where is Raymond Distephan located?

Raymond Distephan practices at 11 Old Woods Rd, Brookfield, CT 06804. The listed phone number is (917) 922-9680.

What is Raymond Distephan's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Raymond Distephan was last updated on June 2, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.