Individual provider Active NPI

Rebecca Willow Senzer, LCSW

  • Clinical Social Worker
  • Hamden, CT
National Provider Identifier
1336229012
Registry record updated Jan 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
004884 Issued in CT
Practice address
1133 Dunbar Hill Rd
Hamden, CT 06514-1409
Phone
(203) 736-9549
NPI assigned
Oct 16, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 17, 2023

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 004884 CT Primary

Addresses

Primary practice location

1133 Dunbar Hill Rd
Hamden, CT 06514-1409

Mailing address

1133 Dunbar Hill Rd
Hamden, CT 06514-1409
Phone (203) 736-9549

Other identifiers 1

IdentifierTypeStateIssuer
004230413MedicaidCT

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
I20060213000620 CT Practitioner - Clinical Social Worker 7012922032 Practice locations: Hamden, CT

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1133 Dunbar Hill Rd
Hamden, CT 06514-1409
Phone (203) 736-9549

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673913600000",
    "number": "1336229012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1133 DUNBAR HILL RD",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065141409",
            "telephone_number": "203-736-9549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1133 DUNBAR HILL RD",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065141409",
            "telephone_number": "203-736-9549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SENZER",
        "first_name": "REBECCA",
        "middle_name": "WILLOW",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-16",
        "last_updated": "2023-01-17",
        "certification_date": "2023-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "004884",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004230413",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamden, CT

Sources for this page

Verify at the official NPI Registry.