Individual provider Active NPI

Herbert Jay Rosenfield, ACSW, LCSW, BCD

  • Clinical Social Worker
  • Cheshire, CT
National Provider Identifier
1467403576
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
000187 Issued in CT
Practice address
350 S Main St
Cheshire, CT 06410-3160
Phone
(203) 271-1234
Fax
(203) 272-9094
NPI assigned
May 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 000187 CT Primary

Addresses

Primary practice location

350 S Main St
Cheshire, CT 06410-3160

Mailing address

350 S Main St (Suite 23)
Adolescent & Family Counseling Center, LLC
Cheshire, CT 06410-3160
Phone (203) 271-1234

Other identifiers 3

IdentifierTypeStateIssuer
134358OtherCTVO
140000187CT01OtherCTBCBS
4106619OtherCTAETNA

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
I20051007000460 CT Practitioner - Clinical Social Worker 8921023003 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1970
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Adolescent and Family Counseling Center, LLCGroup PAC ID 4486679560, 4 clinicians

Practice addresses (Care Compare)

350 S Main St
Cheshire, CT 06410-3160
Phone (203) 271-1234

Herbert Jay Rosenfield
350 So Main St
Cheshire, CT 06410-3160

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
000187CTMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Adolescent & Family Counseling Center, LLC Clinical Current Accepting new patients

Locations

350 S Main St
Cheshire, CT 06410
Phone (203) 271-1234

350 S Main St
Ste 23
Cheshire, CT 06410
Phone (203) 271-1234

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1147478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1467403576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 S MAIN ST (SUITE 23)",
            "address_2": "ADOLESCENT & FAMILY COUNSELING CENTER, LLC",
            "city": "CHESHIRE",
            "state": "CT",
            "postal_code": "064103160",
            "telephone_number": "203-271-1234",
            "fax_number": "203-272-9094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 S MAIN ST",
            "city": "CHESHIRE",
            "state": "CT",
            "postal_code": "064103160",
            "telephone_number": "203-271-1234",
            "fax_number": "203-272-9094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENFIELD",
        "first_name": "HERBERT",
        "middle_name": "JAY",
        "name_prefix": "Mr.",
        "credential": "ACSW, LCSW, BCD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "000187",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VO",
            "identifier": "134358",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "140000187CT01",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4106619",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cheshire, CT

Sources for this page

Verify at the official NPI Registry.