Debra R Sidewater, RD, MSW
Social Worker in Newington, Connecticut
1174621064- Practice location
- 555 Willard Ave, Nutrition Clinic, Second Floor, Newington, CT 06111-2631
- Phone
- 860-667-6797
- Fax
- —
- Last updated
- September 11, 2025
Debra R Sidewater is a Social Worker based in Newington, CT. Debra R Sidewater practices in Newington, CT and has the professional credentials of RD, MSW. The NPI Number for Debra R Sidewater is 1174621064 and holds a License No. 000128 (CT). The current practice location address for Debra R Sidewater is 555 Willard Ave, Nutrition Clinic, Second Floor, Newington, CT 06111-2631 and can be reached out via phone at 860-667-6797.
Provider Profile Details
- NPI Number
- 1174621064
- Provider Name
- Debra R Sidewater
- Credential
- RD, MSW
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 555 Willard Ave, Nutrition Clinic, Second Floor, Newington, CT 06111-2631
- Phone Number
- 860-667-6797
- Primary Taxonomy
- Social Worker · 104100000X
- Sole Proprietor
- No
- Provider Enumeration Date
- September 21, 2006
- Last Update Date
- September 11, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 555 Willard Ave
Nutrition Clinic, Second Floor
Newington, CT 06111-2631 - City
- Newington
- State
- Connecticut
- Zip
- 06111-2631
- Phone Number
- 860-667-6797
Provider Business Mailing Address Details
- Address
- 21 Vandervere RD
West Hartford, CT 06117-2745 - City
- West Hartford
- State
- CT
- Zip
- 06117-2745
- Phone Number
- 860-232-0780
License Information
- Taxonomy (1)
- Social Worker · 104100000X · Primary
- License Number (2)
- 000128
- License State (2)
- CT
- Taxonomy (2)
- Dietitian, Registered · 133V00000X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Debra R Sidewater, RD, MSW?
The NPI number of Debra R Sidewater, RD, MSW is 1174621064. It was assigned on September 21, 2006 and is currently active in the NPPES registry.
What is the specialty of Debra R Sidewater, RD, MSW?
Debra R Sidewater, RD, MSW is registered under the primary taxonomy Social Worker (code 104100000X), licensed in CT under license number 000128.
Where does Debra R Sidewater, RD, MSW practice?
The practice location is 555 Willard Ave, Nutrition Clinic, Second Floor, Newington, CT 06111-2631. The office can be reached at 860-667-6797 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1174621064 directly on the NPPES registry website.