Individual provider Active NPI

Rohena Fearon

  • Clinical Social Worker
  • New Britain, CT
National Provider Identifier
1255194536
Registry record updated Jan 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
8189 Issued in CT
Practice address
3 Franklin SQ
New Britain, CT 06051-2604
Phone
(860) 964-7311
Fax
(860) 955-6247
NPI assigned
Jan 31, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 20573538 CT
Clinical Social Worker 1041C0700X 8189 CT Primary

Addresses

Primary practice location

3 Franklin SQ
New Britain, CT 06051-2604

Mailing address

3 Franklin SQ
New Britain, CT 06051-2604
Phone (860) 964-7311

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
20573538CTMDSocial Worker
8189CTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Spirit Soul and Body Clinical Services LLC Clinical CurrentSince Feb 4, 2024 Accepting new patients

Locations

3 Franklin Sq
New Britain, CT 06051
Phone (860) 770-2495

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": "1706659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706659200000",
    "number": "1255194536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 FRANKLIN SQ",
            "city": "NEW BRITAIN",
            "state": "CT",
            "postal_code": "060512604",
            "telephone_number": "860-964-7311",
            "fax_number": "860-955-6247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 FRANKLIN SQ",
            "city": "NEW BRITAIN",
            "state": "CT",
            "postal_code": "060512604",
            "telephone_number": "860-964-7311",
            "fax_number": "860-955-6247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEARON",
        "first_name": "ROHENA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-31",
        "last_updated": "2024-01-31",
        "certification_date": "2024-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CT",
            "license": "20573538",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "8189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Britain, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2024; 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.