Individual provider Active NPI

Suzanne A Rosenberg, LCSW

  • Clinical Social Worker
  • Plantsville, CT
National Provider Identifier
1003130519
Registry record updated Feb 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
003337 Issued in CT
Practice address
640 Main St
Plantsville, CT 06479-1580
Phone
(860) 261-2280
NPI assigned
Mar 26, 2010
Last updated
Feb 28, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 28, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 003337 CT Primary

Addresses

Primary practice location

640 Main St
Plantsville, CT 06479-1580

Mailing address

52 Cortland Way
Southington, CT 06489-2460
Phone (203) 912-8632

Other practice location 1

52 Cortland Way
Southington, CT 06489-2460
Phone (203) 912-8632

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160203000725 CT Practitioner - Clinical Social Worker 2567766033 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1992
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Peaceful Mind Behavioral Health and Wellness LLCGroup PAC ID 0941683056, 15 clinicians

Practice addresses (Care Compare)

123 Middle St
Bristol, CT 06010-7404
Phone (860) 281-2280

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
003337CTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Behavioral Health and Wellness Solutions of CT, LLC Clinical CurrentSince Jan 1, 2021 Accepting new patients
The Connection Inc. CurrentSince Oct 31, 2015 Accepting new patients
Grow Healthcare Group PA Clinical CurrentSince Aug 15, 2023 Accepting new patients
Peaceful Mind Behavioral Health & Wellness, LLC Clinical CurrentSince Apr 8, 2022 Accepting new patients
Peaceful Mind Behavioral Health & Wellness, LLC Clinical CurrentSince Oct 29, 2023 Accepting new patients
The Connection Inc. Current Accepting new patients
Carelon Medical Partners of Arizona, P.C. CurrentSince Jun 30, 2022 Accepting new patients
The Connection Inc. Past Accepting new patients

Locations

12900 Park Plaza Dr
Ste 150
Cerritos, CA 90703
Phone (562) 622-2800

123 Middle St
Bristol, CT 06010
Phone (860) 281-2280

444 Foxon Rd
East Haven, CT 06513
Phone (203) 407-3500

3013 Dixwell Ave
Hamden, CT 06518
Phone (203) 399-6071

100 Pearl St
Fl 14
Hartford, CT 06103
Phone (860) 421-6636

100 Roscommon Dr
Ste 203
Middletown, CT 06457
Phone (860) 343-5500

282 Dwight St
New Haven, CT 06511
Phone (203) 777-3216

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

Interoperability endpoints

  • Direct secure messaging: ms_srosenb2@landmarkhealth-direct.org

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1269561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740700800000",
    "number": "1003130519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52 CORTLAND WAY",
            "city": "SOUTHINGTON",
            "state": "CT",
            "postal_code": "064892460",
            "telephone_number": "203-912-8632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 MAIN ST",
            "city": "PLANTSVILLE",
            "state": "CT",
            "postal_code": "064791580",
            "telephone_number": "860-261-2280"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "52 Cortland Way",
            "address_purpose": "LOCATION",
            "city": "Southington",
            "state": "CT",
            "postal_code": "064892460",
            "country_code": "US",
            "telephone_number": "203-912-8632",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSENBERG",
        "first_name": "SUZANNE",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-03-26",
        "last_updated": "2025-02-28",
        "certification_date": "2025-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "003337",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plantsville, CT

Sources for this page

Verify at the official NPI Registry.