Active NPI
Rebecca Lu Trautmann, LCSW
- Clinical Social Worker
- Kent, CT
National Provider Identifier
1265500904
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 000729
- Practice address
- 433 Kent Cornwall Rd
Unit 14
Kent, CT 06757-1212 - Phone
- (860) 592-0355
- NPI assigned
- Dec 1, 2006
- Last updated
- May 24, 2018
- 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 | 000729 | CT | Primary |
Addresses
Primary practice location
433 Kent Cornwall Rd
Unit 14
Kent, CT 06757-1212
Mailing address
433 Kent Cornwall Rd Unit 14
Kent, CT 06757-1212
Phone (860) 927-3313
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02489509 | Medicaid | NY | |
| P970179 | Other | NY | OXFORD HEALTH CARE |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000729 | CT | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Janet Downes LCSW LLC | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Clinical Social Worker
- Canaan, CT
- NPI 1134526239
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164931200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1527120000000",
"number": "1265500904",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "433 KENT CORNWALL RD UNIT 14",
"city": "KENT",
"state": "CT",
"postal_code": "067571212",
"telephone_number": "860-927-3313"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "433 KENT CORNWALL RD",
"address_2": "UNIT 14",
"city": "KENT",
"state": "CT",
"postal_code": "067571212",
"telephone_number": "860-592-0355"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRAUTMANN",
"first_name": "REBECCA",
"middle_name": "LU",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-01",
"last_updated": "2018-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CT",
"license": "000729",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02489509",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD HEALTH CARE",
"identifier": "P970179",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kent, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.