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Deactivated NPI 1952709354 Deactivated / Inactive NPI Female Practitioner

Phyllis Boretsky , LCSW

Social Worker - Clinical • Branford, CT

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Phyllis Boretsky has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date December 17, 2014
NPI Deactivation Date February 08, 2024
Total Practice Duration ~10 Years of Practice (2014 – 2024)

Professional Overview & Biography Verified Profile Summary

Phyllis Boretsky, LCSW was a registered Social Worker - Clinical practicing in Branford, CT. Throughout an active medical career spanning 10 years, Phyllis Boretsky provided care at the practice location at 185 DAMASCUS RD until profile deactivation on 2024-02-08.

Practice Location & Contact Primary Location

Practice Address

185 Damascus Rd

Branford, CT 064056107

Telephone 2033156880
Fax 2033157094
Associated Practice Facility / Clinic
🏢 Yale-New Haven Hospital Facility NPI 1013924182

Specialty Benchmarks & Practice Insights

Comparative analytics for Social Worker - Clinical in Branford, CT

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 18.3 Yrs
State Avg: 21.7 Yrs
Regional Practice Density
108 Specialists

Practicing in Branford, CT (7959 Statewide)

Telehealth Adoption Rate
7.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Social Worker - Clinical Primary Specialty

NUCC Taxonomy Code: 1041C0700X

State License CT 002895

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.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated February 08, 2024

Record deactivated on February 08, 2024

NPI Profile Active September 01, 2016

NPI status registered as active in NPPES database

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Updated Practice Location September 01, 2016

Registered at 185 DAMASCUS RD, BRANFORD, CT 064056107 (Tel: 2033156880)

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Updated Business Mailing Address September 01, 2016

Registered at 20 YORK STREET, SOCIAL WORK DEPARTMENT EAST PAVILION 10-635, NEW HAVEN, CT 065048900 (Tel: 2036881855)

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Provider Name / Credentials Updated September 01, 2016

Recorded as PHYLLIS BORETSKY, LCSW

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Medical Taxonomy / Specialty Registered (Primary Specialty) September 01, 2016

Social Worker (License #002895 in CT)

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Initial NPI Registration & Enumeration December 17, 2014

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1952709354
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 17, 2014
Last Update: September 01, 2016
Deactivation Date: February 08, 2024

Mailing Address

20 York Street, Social Work Department East Pavilion 10-635

New Haven, CT 065048900

Phone: 2036881855

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.