Active NPI
Andrew Hinckley Rose, MSW, MA
- Marriage & Family Therapist
- Plainville, CT
National Provider Identifier
1770916686
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- Practice address
- 91 Northwest Dr
Plainville, CT 06062-1534 - Phone
- (860) 793-3500
- NPI assigned
- Aug 14, 2013
- Sex
- Male
- Sole proprietor
- No
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 | 7994392-3502 | UT | |
| Marriage & Family Therapist | 106H00000X | Primary |
Addresses
Primary practice location
91 Northwest Dr
Plainville, CT 06062-1534
Mailing address
91 Northwest Dr
Plainville, CT 06062-1534
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7994392-3502 | UT | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1376438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1376438400000",
"number": "1770916686",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "91 NORTHWEST DR",
"city": "PLAINVILLE",
"state": "CT",
"postal_code": "060621534"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "91 NORTHWEST DR",
"city": "PLAINVILLE",
"state": "CT",
"postal_code": "060621534",
"telephone_number": "860-793-3500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSE",
"first_name": "ANDREW",
"middle_name": "HINCKLEY",
"name_prefix": "Mr.",
"credential": "MSW, MA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-08-14",
"last_updated": "2013-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "UT",
"license": "7994392-3502",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Plainville, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.