Individual provider Active NPI

Rebecca Jennifer Robotham, LCSW

  • Clinical Social Worker
  • Hartford, CT
National Provider Identifier
1013101716
Registry record updated May 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
008079 Issued in CT
Practice address
65 Osten Blvd
Hartford, CT 06106-2774
Phone
(860) 729-2069
NPI assigned
Sep 5, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 20, 2024

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 008079 CT Primary

Addresses

Primary practice location

65 Osten Blvd
Hartford, CT 06106-2774

Mailing address

65 Osten Blvd
Hartford, CT 06106-2774
Phone (860) 729-2069

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
I20181012001625 CT Practitioner - Clinical Social Worker 1658623046 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8079CTMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Harmonie Within Health & Wellness LLC Clinical CurrentSince Jun 1, 2024 Accepting new patients

Locations

597 Farmington Ave
Ste 2
Hartford, CT 06105
Phone (860) 729-2069

Organizations & group practices 1

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": "1188950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716163200000",
    "number": "1013101716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 OSTEN BLVD",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061062774",
            "telephone_number": "860-729-2069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 OSTEN BLVD",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061062774",
            "telephone_number": "860-729-2069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBOTHAM",
        "first_name": "REBECCA",
        "middle_name": "JENNIFER",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-05",
        "last_updated": "2024-05-20",
        "certification_date": "2024-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "008079",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hartford, CT

Sources for this page

Verify at the official NPI Registry.