Kelsey Derusha, LCSW
NPI 1336906619ActiveIndividual· Social Worker, Clinical· Norwich, CT
Social Worker, Clinical (LCSW) with The William W Backus Hospital, practicing in Norwich, Connecticut. Medicare paid $3,586 for services to 43 patients in 2024. Lists William W Backus Hospital as a hospital affiliation.
Overview
| NPI | 1336906619 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LCSW |
| Sole proprietor | No |
| NPI issued | Mar 4, 2024 |
| Last updated in NPPES | Mar 4, 2024 |
| Certified by provider | Mar 3, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | 13787 | CT |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Social Worker (CT) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 43 |
|---|---|
| Services billed | 44 across 1 procedure code |
| Paid by Medicare | $3,586 |
Education and affiliations
| Graduation year | 2021 |
|---|---|
| Medicare specialty | Clinical Social Worker |
Medical group
- The William W Backus HospitalNorwich, CT · 249 clinicians
Hospital affiliation
- William W Backus HospitalNorwich, CT
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