Individual provider Active NPI

Natalie Cristino Roach, LCSW

  • Clinical Social Worker
  • Bridgeport, CT
National Provider Identifier
1538666953
Registry record updated May 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
007784 Issued in CT
Practice address
1558 Barnum Ave
Bridgeport, CT 06610-3238
Phone
(203) 384-3377
Fax
(203) 378-8578
NPI assigned
Apr 11, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
School Social Worker 1041S0200X 007784 CT
Clinical Social Worker 1041C0700X 007784 CT Primary

Addresses

Primary practice location

1558 Barnum Ave
Bridgeport, CT 06610-3238

Mailing address

113 Brittin Ave
Bridgeport, CT 06605-3419
Phone (203) 258-8865

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
I20180420000244 CT Practitioner - Clinical Social Worker 7810250123 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bridgeport HospitalGroup PAC ID 2062312598, 134 clinicians

Practice addresses (Care Compare)

305 Boston Ave
Bridgeport, CT 06610-1649
Phone (203) 384-3377

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.02 of 100Reported as group
Quality
87.5
Promoting interoperability
100
Improvement activities
40
Cost
77.51

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
007784CTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Bridgeport Hospital CurrentSince Sep 17, 2018 Accepting new patients
Bridgeport Hospital CurrentSince Sep 17, 2018 Accepting new patients
Neighborhood Health, Inc. CurrentSince Mar 26, 2018 Accepting new patients
Grow Healthcare Group PA Clinical CurrentSince Apr 24, 2024 Accepting new patients

Locations

267 Grant St
Bridgeport, CT 06610
Phone (203) 384-3170

1558 Barnum Ave
Bridgeport, CT 06610
Phone (203) 384-3377

2400 Main St
Bridgeport, CT 06606
Phone (203) 362-3900

2979 Main St
Bridgeport, CT 06606
Phone (203) 333-8800

305 Boston Ave
Bridgeport, CT 06610
Phone (203) 384-3377

305 Boston Ave
Bridgeport, CT 06610
Phone (203) 384-3377

2800 Main St
Bridgeport, CT 06606
Phone (203) 386-0366

100 Pearl St
Fl 14
Hartford, CT 06103
Phone (860) 421-6636

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

Organizations & group practices 4

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1523404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716163200000",
    "number": "1538666953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 BRITTIN AVE",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066053419",
            "telephone_number": "203-258-8865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1558 BARNUM AVE",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066103238",
            "telephone_number": "203-384-3377",
            "fax_number": "203-378-8578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROACH",
        "first_name": "NATALIE",
        "middle_name": "CRISTINO",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-11",
        "last_updated": "2024-05-20",
        "certification_date": "2024-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "CT",
            "license": "007784",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "007784",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgeport, CT

Sources for this page

Verify at the official NPI Registry.