Individual provider Active NPI

Rosie Laurent, LCSW

  • Clinical Social Worker
  • Ansonia, CT
National Provider Identifier
1295180107
Registry record updated Feb 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
009401 Issued in CT
Practice address
121 Wakelee Ave
Ansonia, CT 06401-1198
Phone
(203) 503-3650
Fax
(203) 503-3659
NPI assigned
Apr 28, 2016
Last updated
Feb 4, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2019

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 009401 CT Primary

Addresses

Primary practice location

121 Wakelee Ave
Ansonia, CT 06401-1198

Mailing address

400 Columbus Ave
Credentialing Specialist
New Haven, CT 06519-1233
Phone (203) 503-3174

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20160714001724 CT Practitioner - Clinical Social Worker 3476845231 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

Norwalk, CT 06850
Phone (203) 550-1278

26 Prospect Ave Apt
F1
Norwalk, CT 06850-3246

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
009401CTMDClinical Social Worker
9401CTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Motivate and Elevate Counseling LLC Clinical CurrentSince Sep 13, 2024 Accepting new patients
Optimus Health Care Inc CurrentSince Feb 10, 2019 Accepting new patients
Optimus Health Care Inc CurrentSince Feb 10, 2019 Accepting new patients

Locations

471 Barnum Ave
Bridgeport, CT 06608
Phone (203) 333-6864

982 E Main St
Bridgeport, CT 06608
Phone (203) 696-3260

1351 Washington Blvd
Stamford, CT 06902
Phone (203) 276-7464

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1461801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549238400000",
    "number": "1295180107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 COLUMBUS AVE",
            "address_2": "CREDENTIALING SPECIALIST",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065191233",
            "telephone_number": "203-503-3174",
            "fax_number": "203-503-3183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 WAKELEE AVE",
            "city": "ANSONIA",
            "state": "CT",
            "postal_code": "064011198",
            "telephone_number": "203-503-3650",
            "fax_number": "203-503-3659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAURENT",
        "first_name": "ROSIE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-28",
        "last_updated": "2019-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "009401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ansonia, CT

Sources for this page

Verify at the official NPI Registry.