Rose Anne Bartkus, L.C.S.W
Individual provider Active NPI Clinical Social Worker · New Hartford, CT
NPI 1629445515 · NPPES record last updated Mar 17, 2018
Key facts
- NPI
- 1629445515
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 8664 (CT)
- Practice address
- 220 Main St Apt 4J
New Hartford, CT 06057-2715 - Phone
- (203) 241-8166
- NPI assigned
- Aug 26, 2015
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151026001653 | CT | Practitioner - Clinical Social Worker | 2769791128 |
Reassigns benefits to 1 organization Practice locations: New Hartford, CT |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8664 | CT | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stokes Counseling Services LLC | Clinical | Current |
Accepting new patients |
Locations
16 Hillside Ave
Naugatuck, CT 06770
Phone (203) 729-0341
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | |||
| Clinical Social Worker | 1041C0700X | 8664 | CT | Yes |
Addresses
Primary practice location
220 Main St Apt 4J
New Hartford, CT 06057-2715
Mailing address
220 Main St Apt 4J
New Hartford, CT 06057-2715
Phone (203) 241-8166
Other practice location 1
202 White Pine Rd
Torrington, CT 06790-8508
Phone (203) 241-8166
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629445515 | Medicaid | CT |
Other names
- Rose Anne Rodriguez
Other providers in New Hartford, CT
- Artistic Dental Medicine
- Sally Elizabeth Austin-Fitzpatrick
- Catherine Kimball
- Garrit Cerruto
- Samantha Chabre
- Communication Corner and More LLC
- Stacie M Cull
All providers in New Hartford, CT · Clinical Social Worker in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 17, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.