Individual provider Active NPI

Kimberly A Rinko, LCSW,MSW,BA

  • Clinical Social Worker
  • Middlebury, CT
National Provider Identifier
1104267798
Registry record updated Jan 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
00837 Issued in CT
Practice address
900 Straits Tpke
Middlebury, CT 06762-2865
Phone
(203) 598-4492
Fax
(203) 405-3328
NPI assigned
Jul 10, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 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 00837 CT Primary

Addresses

Primary practice location

900 Straits Tpke
Middlebury, CT 06762-2865

Mailing address

PO Box 1064
Waterbury, CT 06721-1064
Phone (203) 980-3850

Other practice location 1

174 West St
Litchfield, CT 06759-3434
Phone (203) 558-3975

Other practice location 2

257 Main St
Torrington, CT 06790-5206
Phone (203) 558-3975

Other identifiers 1

IdentifierTypeStateIssuer
008049703MedicaidCT

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
I20150923000783 CT Practitioner - Clinical Social Worker 7416264429 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
University of Connecticut School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

900 Straits Tpke
Suite 205
Middlebury, CT 06762-2868
Phone (203) 598-4492

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor of Arts

State licenses

LicenseStateTypeSpecialty
00837CTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
J.C. Counseling Services LLC Clinical CurrentSince Mar 22, 2016 Accepting new patients
The Charlotte Hungerford Hospital CurrentSince May 4, 2015 Accepting new patients
The Charlotte Hungerford Hospital CurrentSince May 4, 2015 Accepting new patients

Locations

900 Straits Tpke
Ste 205
Middlebury, CT 06762
Phone (203) 598-4492

540 Litchfield St
Torrington, CT 06790
Phone (860) 496-6361

969 W Main St
Ste 1D
Waterbury, CT 06708
Phone (203) 596-0857

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": "1373414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704499200000",
    "number": "1104267798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1064",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067211064",
            "telephone_number": "203-980-3850",
            "fax_number": "203-405-2238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 STRAITS TPKE",
            "city": "MIDDLEBURY",
            "state": "CT",
            "postal_code": "067622865",
            "telephone_number": "203-598-4492",
            "fax_number": "203-405-3328"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "174 West St",
            "address_purpose": "LOCATION",
            "city": "Litchfield",
            "state": "CT",
            "postal_code": "067593434",
            "country_code": "US",
            "telephone_number": "203-558-3975",
            "fax_number": "203-405-3328",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "257 Main St",
            "address_purpose": "LOCATION",
            "city": "Torrington",
            "state": "CT",
            "postal_code": "067905206",
            "country_code": "US",
            "telephone_number": "203-558-3975",
            "fax_number": "203-405-3328",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RINKO",
        "first_name": "KIMBERLY",
        "middle_name": "A",
        "credential": "LCSW,MSW,BA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-10",
        "last_updated": "2024-01-06",
        "certification_date": "2024-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "00837",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008049703",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Middlebury, CT

Sources for this page

Verify at the official NPI Registry.