Individual provider Active NPI

Dana Marie Rohlman, LCSW

  • Clinical Social Worker
  • Bristol, CT
National Provider Identifier
1255092979
Registry record updated Sep 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
58.011792 Issued in CT
Practice address
27 Siemon Company Dr Ste 121W
Watertown, CT 06795-2678
Phone
(860) 483-0360
NPI assigned
Jan 5, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2026

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 58.011792 CT Primary

Addresses

Primary practice location

27 Siemon Company Dr Ste 121W
Watertown, CT 06795-2678

Mailing address

173 Pondview Dr
Southington, CT 06489-3949
Phone (203) 233-5560

Other names 1

  • Dana Rohlman Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20230322002251 MA Practitioner - Clinical Social Worker 3375917982 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
58.011792CTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Cityblock Medical Practice, P.a. CurrentSince Feb 23, 2023 Accepting new patients

Locations

100 Grove St
Ste 115
Worcester, MA 01605
Phone (347) 463-5529

495 Flatbush Ave
Ste C5
Brooklyn, NY 11225
Phone (215) 588-1676

495 Flatbush Ave
Brooklyn, NY 11225
Phone 80033611001

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": "1641340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789516800000",
    "number": "1255092979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "173 PONDVIEW DR",
            "city": "SOUTHINGTON",
            "state": "CT",
            "postal_code": "064893949",
            "telephone_number": "203-233-5560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 SIEMON COMPANY DR STE 121W",
            "city": "WATERTOWN",
            "state": "CT",
            "postal_code": "067952678",
            "telephone_number": "860-483-0360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILCOX",
        "first_name": "DANA",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-05",
        "last_updated": "2026-09-16",
        "certification_date": "2026-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "58.011792",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DANA",
            "last_name": "ROHLMAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bristol, CT

Sources for this page

Verify at the official NPI Registry.