Active NPI
Natalie Cristino Roach, LCSW
- Clinical Social Worker
- Bridgeport, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 007784
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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 100
- Quality
- 87.5
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 77.51
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 007784 | CT | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bridgeport Hospital | Current | Accepting new patients | |
| Bridgeport Hospital | Current | Accepting new patients | |
| Neighborhood Health, Inc. | Current | Accepting new patients | |
| Grow Healthcare Group PA | Clinical | Current | 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.
-
- General Acute Care Hospital
- Bridgeport, CT
- NPI 1649260845
-
dba HHC Neighborhood Health
- General Practice Physician
- Torrington, CT
- NPI 1043544489
-
dba Bridgeport Hospital Milford Campus OP
- General Acute Care Hospital
- Milford, CT
- NPI 1891376810
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Bridgeport, CT
- NPI 1649260845
-
- General Acute Care Hospital
- Bridgeport, CT
- NPI 1992910152
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.