Mika Derynioski, OTR/L
Social Worker, Clinical in Griswold, Connecticut
1689269433- Practice location
- 226 E Main St, Griswold, CT 06351-2110
- Phone
- 860-376-7040
- Fax
- —
- Last updated
- September 29, 2026
Mika Derynioski is a Social Worker, Clinical based in Griswold, CT. Mika Derynioski practices in Griswold, CT and has the professional credentials of OTR/L. The NPI Number for Mika Derynioski is 1689269433 and holds a License No. 5102 (CT). The current practice location address for Mika Derynioski is 226 E Main St, Griswold, CT 06351-2110 and can be reached out via phone at 860-376-7040.
Provider Profile Details
- NPI Number
- 1689269433
- Provider Name
- Mika Derynioski
- Credential
- OTR/L
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 226 E Main St, Griswold, CT 06351-2110
- Phone Number
- 860-376-7040
- Primary Taxonomy
- Social Worker, Clinical · 1041C0700X
- Sole Proprietor
- No
- Provider Enumeration Date
- March 3, 2021
- Last Update Date
- September 29, 2026
- Certification Date
- September 29, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 226 E Main St
Griswold, CT 06351-2110 - City
- Griswold
- State
- Connecticut
- Zip
- 06351-2110
- Phone Number
- 860-376-7040
Provider Business Mailing Address Details
- Address
- 226 E Main St
Griswold, CT 06351-2110 - City
- Griswold
- State
- CT
- Zip
- 06351-2110
License Information
- License Number (1)
- 5102
- License State (1)
- CT
- Taxonomy (1)
- Occupational Therapist, Pediatrics · 225XP0200X
- Taxonomy (2)
- Occupational Therapist · 225X00000X
- Taxonomy (3)
- Social Worker, Clinical · 1041C0700X · Primary
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 Mika Derynioski, OTR/L?
The NPI number of Mika Derynioski, OTR/L is 1689269433. It was assigned on March 3, 2021 and is currently active in the NPPES registry.
What is the specialty of Mika Derynioski, OTR/L?
Mika Derynioski, OTR/L is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in CT under license number 5102.
Where does Mika Derynioski, OTR/L practice?
The practice location is 226 E Main St, Griswold, CT 06351-2110. The office can be reached at 860-376-7040 (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 1689269433 directly on the NPPES registry website.