Individual provider Active NPI

Jerena Rozario, LCSW

  • Clinical Social Worker
  • Fairfield, CT
National Provider Identifier
1205245776
Registry record updated May 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
010099 Issued in CT
Practice address
268 Post Rd Ste 200
Fairfield, CT 06824-6220
Phone
(860) 602-8911
NPI assigned
Aug 8, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 21, 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 010099 CT Primary

Addresses

Primary practice location

268 Post Rd Ste 200
Fairfield, CT 06824-6220

Mailing address

222 Northpoint Ave Unit a
High Point, NC 27262-1013
Phone (860) 202-3581

Other names 1

  • Jerena Rozario Former name

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
I20190903000114 CT Practitioner - Clinical Social Worker 1759610686 Practice locations: Manchester, CT

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2014
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

357 E Ctr St
Manchester, CT 06040-4472
Phone (860) 602-8911

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
010099CTMDClinical Social Worker
10099CTMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Marvin Behavioral Health Ma PC Clinical Past 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": "1407456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747785600000",
    "number": "1205245776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 NORTHPOINT AVE UNIT A",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272621013",
            "telephone_number": "860-202-3581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "268 POST RD STE 200",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068246220",
            "telephone_number": "860-602-8911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROZARIO",
        "first_name": "JERENA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-08-08",
        "last_updated": "2025-05-21",
        "certification_date": "2025-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "010099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JERENA",
            "last_name": "ROZARIO",
            "credential": "JERENA FELTON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fairfield, CT

Sources for this page

Verify at the official NPI Registry.