Active NPI
Becki S Gersten, LCSW, CTS
- Clinical Social Worker
- Middletown, CT
National Provider Identifier
1235282625
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 001639
- Practice address
- 98 Washington Street
Middletown, CT 06457 - Phone
- (860) 347-5556
- Fax
- (860) 347-4748
- NPI assigned
- Jan 19, 2007
- Last updated
- May 27, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 001639 | CT | Primary |
Addresses
Primary practice location
98 Washington Street
Middletown, CT 06457
Mailing address
600 Plaza Middlesex
P.O. Box 357
Middletown, CT 06457-3468
Phone (860) 347-5556
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 140001639CT01 | Other | BLUE CROSS | |
| 024747 | Other | VALUE OPTIONS |
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169164800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1306454400000",
"number": "1235282625",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 PLAZA MIDDLESEX",
"address_2": "P.O. BOX 357",
"city": "MIDDLETOWN",
"state": "CT",
"postal_code": "064573468",
"telephone_number": "860-347-5556",
"fax_number": "860-347-4748"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "98 WASHINGTON STREET",
"city": "MIDDLETOWN",
"state": "CT",
"postal_code": "06457",
"telephone_number": "860-347-5556",
"fax_number": "860-347-4748"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GERSTEN",
"first_name": "BECKI",
"middle_name": "S",
"name_prefix": "Mrs.",
"credential": "LCSW, CTS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-19",
"last_updated": "2011-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CT",
"license": "001639",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "140001639CT01",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS",
"identifier": "024747",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Middletown, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.