Faith Rosenberger, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

011417 Issued in CT

Practice address

37 Camp Moween Rd
Lebanon, CT 06249-2704

Phone

(603) 923-2549

NPI assigned

Oct 21, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Clinical Social Worker

Education

Other, 2018

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Southeastern Council on Alcoholism and Drug Dependence Inc

  • Substance Abuse Rehabilitation Facility
  • Lebanon, CT
  • NPI 1003960022

  CT

  Medicare reassignment NPD
• Southeastern Council on Alcoholism and Drug Dependence Inc

  • Primary Care Clinic/Center
  • New London, CT
  • NPI 1750256806
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1729468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729468800000",
    "number": "1275354516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 HANOVER VERSAILLES RD",
            "city": "BALTIC",
            "state": "CT",
            "postal_code": "063301452",
            "telephone_number": "603-923-2549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 CAMP MOWEEN RD",
            "city": "LEBANON",
            "state": "CT",
            "postal_code": "062492704",
            "telephone_number": "603-923-2549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENBERGER",
        "first_name": "FAITH",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-21",
        "last_updated": "2024-10-21",
        "certification_date": "2024-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "011417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Massicotte
• Kaitlyn A Murphy, M.ED. M.S. BCBA, LBA
• Thomas E Pawlowski
• John Howe Reed Sr., MS LADC
• Sarah Lyn Rondinone, MS, RDN, CDN
• Vijay K Sikand, M.D.
• Smith Hearing Services
• Bruce E Smith, BC-HIS
• Southeastern Council on Alcoholism and Drug Dependence Inc
• Julia St Jean, LMSW

• All providers in Lebanon, CT
• Clinical Social Worker in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.