Provider Demographics
NPI:1710053475
Name:ORWASHER, GILDA STERN (LCSW, PHD)
Entity Type:Individual
Prefix:DR
First Name:GILDA
Middle Name:STERN
Last Name:ORWASHER
Suffix:
Gender:F
Credentials:LCSW, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:1771 POST RD E
Mailing Address - Street 2:SUITE 317
Mailing Address - City:WESTPORT
Mailing Address - State:CT
Mailing Address - Zip Code:06880-5606
Mailing Address - Country:US
Mailing Address - Phone:203-984-3935
Mailing Address - Fax:203-226-9593
Practice Address - Street 1:25 WASHINGTON CT
Practice Address - Street 2:
Practice Address - City:STAMFORD
Practice Address - State:CT
Practice Address - Zip Code:06902-2346
Practice Address - Country:US
Practice Address - Phone:203-984-3935
Practice Address - Fax:203-229-9593
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-27
Last Update Date:2009-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0058611041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT004172920Medicaid
CT004172912Medicaid