Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kelsey Derusha, LCSW

Individual provider Clinical Social Worker · NPI 1336906619

Kelsey Derusha, LCSW is a Clinical Social Worker in Norwich, Connecticut. Qualified in 2021, 5 years ago. Practices with The William W Backus Hospital, a 247-clinician group and accepts Medicare assignment. Licensed in Connecticut.

Years since qualifying
5
Licensed in
CT
In the registry since
2024
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

326 Washington St
Norwich, CT 06360-2740
Phone: (860) 889-8331
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 13787 (CT)

Record details

NPI number1336906619
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedMarch 4, 2024
Last updated in NPPESMarch 4, 2024
Certification dateMarch 3, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice The William W Backus Hospital — 247 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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