Individual provider Active NPI

Megan Rock, MSW

  • Clinical Social Worker
  • Mansfield Center, CT
National Provider Identifier
1457948333
Registry record updated Dec 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
11289 Issued in CT
Practice address
6 Ledgebrook Dr
Mansfield Center, CT 06250-1644
Phone
(203) 679-0849
NPI assigned
Dec 28, 2020
Last updated
Dec 28, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2020

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 11289 CT Primary

Addresses

Primary practice location

6 Ledgebrook Dr
Mansfield Center, CT 06250-1644

Mailing address

300 Church St Ste 105
Wallingford, CT 06492-2253
Phone (203) 679-0849

Other practice location 1

300 Church St Ste 105
Wallingford, CT 06492-2253
Phone (203) 679-0849

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
I20241025002675 CT Practitioner - Clinical Social Worker 5395286181 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Soul Friends, Inc Clinical CurrentSince Jan 3, 2021 Accepting new patients
Room to Grow Counseling Clinical CurrentSince Oct 15, 2024 Accepting new patients

Locations

915 Sullivan Ave
Ste 4A
South Windsor, CT 06074
Phone (860) 255-8577

300 Church St
Ste 105
Yalesville, CT 06492
Phone (203) 419-6905

Interoperability endpoints

  • Direct secure messaging: megan.rock@xdr.hhchealthdirect.org

Organizations & group practices 2

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": "1609113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609113600000",
    "number": "1457948333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 CHURCH ST STE 105",
            "city": "WALLINGFORD",
            "state": "CT",
            "postal_code": "064922253",
            "telephone_number": "203-679-0849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 LEDGEBROOK DR",
            "city": "MANSFIELD CENTER",
            "state": "CT",
            "postal_code": "062501644",
            "telephone_number": "203-679-0849"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 Church St Ste 105",
            "address_purpose": "LOCATION",
            "city": "Wallingford",
            "state": "CT",
            "postal_code": "064922253",
            "country_code": "US",
            "telephone_number": "203-679-0849",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROCK",
        "first_name": "MEGAN",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-28",
        "last_updated": "2020-12-28",
        "certification_date": "2020-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "11289",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mansfield Center, CT

Sources for this page

Verify at the official NPI Registry.