Elisabeth Ann Bosco, LCSW
Individual provider Active NPI Clinical Social Worker · Unionville, CT
NPI 1679385751 · NPPES record last updated Jul 31, 2025
Key facts
- NPI
- 1679385751
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 15469 (CT)
- Practice address
- 202 Lovely St
Unionville, CT 06085-1168 - Phone
- (860) 983-6487
- NPI assigned
- Jan 24, 2025
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 015469 | CT | MD | Social Worker |
| 15469 | CT | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 5139 | CT | |
| Social Worker | 104100000X | 015469 | CT | |
| Clinical Social Worker | 1041C0700X | 15469 | CT | Yes |
Addresses
Primary practice location
202 Lovely St
Unionville, CT 06085-1168
Mailing address
202 Lovely St
Unionville, CT 06085-1168
Phone (860) 983-6487
Other practice location 1
34 Jerome Ave Ste 304
Bloomfield, CT 06002-2463
Phone (860) 634-8768
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All providers in Unionville, 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 Jul 31, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.