Barbara J. Fasulo, LCSW, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

BARBARA J. FASULO, LCSW, LLC

Practice address

2257 Silas Deane Hwy
Rocky Hill, CT 06067-2328

Phone

(860) 416-5288

NPI assigned

Nov 12, 2021

Last updated

Nov 14, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Barbara J. Fasulo, LCSWNPI 1952883258

Title

Owner

Phone

(860) 416-5288

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Barbara J Fasulo, LCSW

  • Clinical Social Worker
  • Middletown, CT
  • NPI 1952883258
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1636675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636848000000",
    "number": "1447916622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2257 SILAS DEANE HWY",
            "city": "ROCKY HILL",
            "state": "CT",
            "postal_code": "060672328",
            "telephone_number": "860-416-5288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2257 SILAS DEANE HWY",
            "city": "ROCKY HILL",
            "state": "CT",
            "postal_code": "060672328",
            "telephone_number": "860-416-5288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARBARA J. FASULO, LCSW, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-12",
        "last_updated": "2021-11-14",
        "certification_date": "2021-11-14",
        "status": "A",
        "authorized_official_last_name": "FASULO",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-416-5288",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mariah M Augustine
• Yasir M Aziz
• Kelly Badyrka, LPC
• Alison A Baikal, O.D.
• Jarod Balog, DC
• Barnett & Shoflick, P.C. (Rocky Hill Dental Associates)
• David M. Barnett
• Shella Beauzil, MSW, LICSW
• Bernadette Bellizzi, LPC
• Benchmark Assisted Living LLC

• Community/Behavioral Health Agency in Rocky Hill, CT
• Providers in Rocky Hill, CT by specialty
• Community/Behavioral Health Agency in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.