Active NPI
Nicole Rafala
- Clinical Social Worker
- Glastonbury, CT
National Provider Identifier
1548628852
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 2744
- Practice address
- 110 National Dr
Glastonbury, CT 06033-4371 - Phone
- (860) 657-8910
- NPI assigned
- Feb 1, 2016
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 2744 | CT | Primary |
Addresses
Primary practice location
110 National Dr
Glastonbury, CT 06033-4371
Mailing address
1429 Park St
Unit 505
Hartford, CT 06106-2236
Phone (860) 604-5115
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1454284800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1454284800000",
"number": "1548628852",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1429 PARK ST",
"address_2": "UNIT 505",
"city": "HARTFORD",
"state": "CT",
"postal_code": "061062236",
"telephone_number": "860-604-5115"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 NATIONAL DR",
"city": "GLASTONBURY",
"state": "CT",
"postal_code": "060334371",
"telephone_number": "860-657-8910"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAFALA",
"first_name": "NICOLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-02-01",
"last_updated": "2016-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CT",
"license": "2744",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Glastonbury, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.