Individual provider Active NPI

Catherine Rossi, LICSW LADC

  • Clinical Social Worker
  • Newport, VT
National Provider Identifier
1164837852
Registry record updated Jun 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
089.0082044 Issued in VT
Practice address
2858 Pine Hill Rd
Newport, VT 05855-9293
Phone
(802) 624-0896
NPI assigned
Jun 22, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 22, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 000557 VT
Clinical Social Worker 1041C0700X 089.0082044 VT Primary

Addresses

Primary practice location

2858 Pine Hill Rd
Newport, VT 05855-9293

Mailing address

2858 Pine Hill Rd
PO Box 983
Newport, VT 05855-9293

Other identifiers 1

IdentifierTypeStateIssuer
12694692OtherCAQH PROVIDER ID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
000557VTMDAddiction (Substance Use Disorder) Counselor
089.0082044VTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Rhodes Behavioral Health LLC Clinical Current Accepting new patients

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": "1403395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403395200000",
    "number": "1164837852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2858 PINE HILL RD",
            "address_2": "PO BOX 983",
            "city": "NEWPORT",
            "state": "VT",
            "postal_code": "058559293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2858 PINE HILL RD",
            "city": "NEWPORT",
            "state": "VT",
            "postal_code": "058559293",
            "telephone_number": "802-624-0896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSSI",
        "first_name": "CATHERINE",
        "credential": "LICSW LADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-22",
        "last_updated": "2014-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "VT",
            "license": "000557",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VT",
            "license": "089.0082044",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH PROVIDER ID",
            "identifier": "12694692",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.