Individual provider Active NPI

Rebecca Rotondo, LCSW

  • Clinical Social Worker
  • Shelton, CT
National Provider Identifier
1003358326
Registry record updated Oct 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
001370 Issued in CT
Practice address
1000 Bridgeport Ave Ste 202
Shelton, CT 06484-4669
Phone
(203) 759-8462
Fax
(203) 242-1165
NPI assigned
Nov 17, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 27, 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 001370 CT Primary

Addresses

Primary practice location

1000 Bridgeport Ave Ste 202
Shelton, CT 06484-4669

Mailing address

1000 Bridgeport Ave Ste 202
Shelton, CT 06484-4669
Phone (203) 759-8462

Other practice location 1

984 Southford Rd Ste 6
Middlebury, CT 06762-3234
Phone (203) 759-8462

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
I20220207001903 CT Practitioner - Clinical Social Worker 3971996349 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
001370CTMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Behavioral Health Center for Counseling & Learning, LLC CurrentSince Jul 7, 2023 Accepting new patients
Compassionate Care Counseling LLC PastSince Feb 7, 2021 Accepting new patients

Locations

984 Southford Rd
Middlebury, CT 06762
Phone (203) 758-2400

984 Southford Rd
Ste 6
Middlebury, CT 06762
Phone (203) 758-2400

1000 Bridgeport Ave
Ste 202
Shelton, CT 06484
Phone (203) 712-9998

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1479340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761523200000",
    "number": "1003358326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 BRIDGEPORT AVE STE 202",
            "city": "SHELTON",
            "state": "CT",
            "postal_code": "064844669",
            "telephone_number": "203-759-8462",
            "fax_number": "203-242-1165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 BRIDGEPORT AVE STE 202",
            "city": "SHELTON",
            "state": "CT",
            "postal_code": "064844669",
            "telephone_number": "203-759-8462",
            "fax_number": "203-242-1165"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "984 Southford Rd Ste 6",
            "address_purpose": "LOCATION",
            "city": "Middlebury",
            "state": "CT",
            "postal_code": "067623234",
            "country_code": "US",
            "telephone_number": "203-759-8462",
            "fax_number": "203-758-2415",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROTONDO",
        "first_name": "REBECCA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-11-17",
        "last_updated": "2025-10-27",
        "certification_date": "2025-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "001370",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelton, CT

Sources for this page

Verify at the official NPI Registry.