Individual provider Active NPI

Catherine Vlasto, LCSW

  • Clinical Social Worker
  • Goshen, CT
National Provider Identifier
1689185266
Registry record updated Oct 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
007947 Issued in CT
Practice address
222 Beach St
Goshen, CT 06756-2306
Phone
(860) 309-3250
NPI assigned
Oct 23, 2017
Last updated
Oct 23, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 23, 2017

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 007947 CT Primary

Addresses

Primary practice location

222 Beach St
Goshen, CT 06756-2306

Mailing address

222 Beach St
Goshen, CT 06756-2306
Phone (860) 309-3250

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
I20210414000328 CT Practitioner - Clinical Social Worker 4789092685 Reassigns benefits to 1 organization
Practice locations: Goshen, CT

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1995
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Rancourt Counseling LLCGroup PAC ID 1951707157, 5 clinicians

Practice addresses (Care Compare)

41 S Main St
New Milford, CT 06776-3507
Phone (860) 740-2228

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
007947CTMDPeriodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Rancourt Counseling, LLC Clinical CurrentSince Jun 2, 2021 Accepting new patients

Locations

41 S Main St
New Milford, CT 06776
Phone (860) 355-4113

Organizations & group practices 1

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": "1508716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508716800000",
    "number": "1689185266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 BEACH ST",
            "city": "GOSHEN",
            "state": "CT",
            "postal_code": "067562306",
            "telephone_number": "860-309-3250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 BEACH ST",
            "city": "GOSHEN",
            "state": "CT",
            "postal_code": "067562306",
            "telephone_number": "860-309-3250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VLASTO",
        "first_name": "CATHERINE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-23",
        "last_updated": "2017-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "007947",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Goshen, CT

Sources for this page

Verify at the official NPI Registry.