Individual provider Active NPI

Coreen Rogers, LCSW

  • Clinical Social Worker
  • Hebron, CT
National Provider Identifier
1558717256
Registry record updated May 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
005484 Issued in CT
Practice address
37 Warner Pond LN
Hebron, CT 06248-1370
Phone
(860) 983-3207
NPI assigned
May 11, 2016
Last updated
May 11, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 11, 2016

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 005484 CT Primary

Addresses

Primary practice location

37 Warner Pond LN
Hebron, CT 06248-1370

Mailing address

37 Warner Pond LN
Hebron, CT 06248-1370
Phone (860) 983-3207

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
I20190307000956 CT Practitioner - Clinical Social Worker 3375882442 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Step Up Care PC LLCGroup PAC ID 5496088346, 176 clinicians

Practice addresses (Care Compare)

1175 Hebron Ave
Glastonbury, CT 06033-2478
Phone (718) 298-4375

Merit-based Incentive Payment System (MIPS)

Final score
87.14 of 100Reported as group
Quality
71.85
Improvement activities
40
Cost
75.41

Merit-based Incentive Payment System (MIPS)

Final score
86.48 of 100Reported as group
Quality
72.39
Improvement activities
40
Cost
72.21

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
005484CTMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Step Up Care PC LLC Clinical CurrentSince Apr 22, 2019 Accepting new patients
Coreen Rogers LLC CurrentSince Jun 7, 2020 Accepting new patients
Sunrise Psychological Services LLC CurrentSince Feb 1, 2019 Accepting new patients

Locations

1175 Hebron Ave
Glastonbury, CT 06033
Phone (860) 253-2617

245 Orange Ave
Milford, CT 06461
Phone (203) 876-5123

55 Grand St
New Britain, CT 06052
Phone (845) 459-5767

595 Valley St
Willimantic, CT 06226
Phone (860) 450-7060

27 Randolph Rd
Howell, NJ 07731
Phone (972) 677-7951

Organizations & group practices 3

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": "1462924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462924800000",
    "number": "1558717256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 WARNER POND LN",
            "city": "HEBRON",
            "state": "CT",
            "postal_code": "062481370",
            "telephone_number": "860-983-3207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 WARNER POND LN",
            "city": "HEBRON",
            "state": "CT",
            "postal_code": "062481370",
            "telephone_number": "860-983-3207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGERS",
        "first_name": "COREEN",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-11",
        "last_updated": "2016-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "005484",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hebron, CT

Sources for this page

Verify at the official NPI Registry.