Individual provider Active NPI

Rita Brzozowski, LCSW

  • Clinical Social Worker
  • Farmington, CT
National Provider Identifier
1649336231
Registry record updated Apr 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
005891 Issued in CT
Practice address
John Dempsey Hospital
263 Farmington Avenue, MC-4160
Farmington, CT 06030-0001
Phone
(860) 679-6755
Fax
(860) 679-6736
NPI assigned
Dec 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2013

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 005891 CT Primary

Addresses

Primary practice location

John Dempsey Hospital
263 Farmington Avenue, MC-4160
Farmington, CT 06030-0001

Mailing address

263 Farmington Ave
Provider Enrollment
Farmington, CT 06030-2212
Phone (860) 679-7503

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
I20050607000501 CT Practitioner - Clinical Social Worker 1254374655 Reassigns benefits to 1 organization
Practice locations: Bristol, CT

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

22 Pine St
Suite 300C
Bristol, CT 06010-6950
Phone (860) 506-5959

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
005891CTMDSpeech-Language Pathologist
5891CTMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
State of Connecticut CurrentSince Apr 4, 2014 Accepting new patients
State of Connecticut CurrentSince Apr 4, 2014 Accepting new patients

Locations

263 Farmington Ave
Farmington, CT 06030
Phone (860) 679-4477

263 Farmington Ave
#4160
Farmington, CT 06030
Phone (860) 679-6755

450 Columbus Blvd
Ste 1001
Hartford, CT 06103

249 Winsted Rd
Fl 3
Torrington, CT 06790
Phone (860) 496-3700

55 W Main St
Ste 410
Waterbury, CT 06702
Phone (203) 805-6408

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365033600000",
    "number": "1649336231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "263 FARMINGTON AVE",
            "address_2": "PROVIDER ENROLLMENT",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060302212",
            "telephone_number": "860-679-7503",
            "fax_number": "860-679-1610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "JOHN DEMPSEY HOSPITAL",
            "address_2": "263 FARMINGTON AVENUE, MC-4160",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060300001",
            "telephone_number": "860-679-6755",
            "fax_number": "860-679-6736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRZOZOWSKI",
        "first_name": "RITA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-28",
        "last_updated": "2013-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "005891",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington, CT

Sources for this page

Verify at the official NPI Registry.