Gena Marie Rotas, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

1029356 Issued in MA

Practice address

39 Baymor Dr
East Longmeadow, MA 01028-2211

Phone

(413) 626-6528

Fax

(413) 525-5905

NPI assigned

Oct 17, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1306927561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 BAYMOR DR",
            "city": "EAST LONGMEADOW",
            "state": "MA",
            "postal_code": "010282211",
            "telephone_number": "413-626-6528",
            "fax_number": "413-525-5905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 BAYMOR DR",
            "city": "EAST LONGMEADOW",
            "state": "MA",
            "postal_code": "010282211",
            "telephone_number": "413-626-6528",
            "fax_number": "413-525-5905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTAS",
        "first_name": "GENA",
        "middle_name": "MARIE",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "1029356",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSSBLUESHIELD",
            "identifier": "P08009",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Taina Reyes
• Katherine Mary Rice, PA-C
• Robert Howe, MD, PC (Reproductive Medicine Center of Western Mass)
• Nathanael L Rosario, CRNA
• Karyn M Rosenkranz, PT, DPT
• Run DME Inc
• Keith R Ruppel, M.D.
• Chelsea Ruscio Samble, M.ED.
• Kaileen Russell, LICSW
• Alexandra Ruszczyk, DPT

• Clinical Social Worker in East Longmeadow, MA
• Providers in East Longmeadow, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.