Rahisha Adrion Bivens, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

11266 Issued in CT

Practice address

715 Quinnipiac Ave Apt 1
New Haven, CT 06513-4092

Phone

(860) 538-2697

Fax

(860) 499-3159

NPI assigned

Jan 16, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1610755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611619200000",
    "number": "1346839065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 QUINNIPIAC AVE APT 1",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065134092",
            "telephone_number": "860-538-2697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 QUINNIPIAC AVE APT 1",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065134092",
            "telephone_number": "860-538-2697",
            "fax_number": "860-499-3159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIVENS",
        "first_name": "RAHISHA",
        "middle_name": "ADRION",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-16",
        "last_updated": "2021-01-26",
        "certification_date": "2021-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CT",
            "license": "11266",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "11266",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Evan Led Bishop, PHARMD
• Matthew Ryan Bishop, CRNA
• Emily Bistline, MS, LCGC
• Rohan Biswas, MD, PHD
• Ryan Bitar, MD
• Marissa Ann Bivona, PHD
• Samantha Bixby
• Matthew John Bizzarro, MD
• ABA Black, MD, MHS
• Robert Black, MD

• Clinical Social Worker in New Haven, CT
• Providers in New Haven, CT by specialty
• Clinical Social Worker in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2021; 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.