Active NPI
Rose-Marie Marotta-Graves, LCSW
- Clinical Social Worker
- Hartford, CT
National Provider Identifier
1689061277
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 10314
- Practice address
- 500 Blue Hills Ave
Hartford, CT 06112-1500 - Phone
- (860) 714-3703
- NPI assigned
- Apr 21, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 1314 | CT | |
| Clinical Social Worker | 1041C0700X | 10314 | CT | Primary |
Addresses
Primary practice location
500 Blue Hills Ave
Hartford, CT 06112-1500
Mailing address
500 Blue Hills Ave
Hartford, CT 06112-1500
Phone (860) 714-3703
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1314 | CT | MD | Behavioral Analyst |
| 10314 | CT | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1429574400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1554422400000",
"number": "1689061277",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 BLUE HILLS AVE",
"city": "HARTFORD",
"state": "CT",
"postal_code": "061121500",
"telephone_number": "860-714-3703"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 BLUE HILLS AVE",
"city": "HARTFORD",
"state": "CT",
"postal_code": "061121500",
"telephone_number": "860-714-3703"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAROTTA-GRAVES",
"first_name": "ROSE-MARIE",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-04-21",
"last_updated": "2019-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CT",
"license": "1314",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CT",
"license": "10314",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hartford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.