Active NPI
Simie Jaye Rosenthal Whalen, LCSW
- Clinical Social Worker
- Waterbury, CT
National Provider Identifier
1821160003
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 003385
- Practice address
- 55 West Main Street
Western Connecticut Mental Health Network Suite 410
Waterbury, CT 06702 - Phone
- (203) 805-6408
- Fax
- (203) 805-6432
- NPI assigned
- Nov 14, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 003385 | CT | Primary |
Addresses
Primary practice location
55 West Main Street
Western Connecticut Mental Health Network Suite 410
Waterbury, CT 06702
Mailing address
55 West Main Street
Western Connecticut Mental Health Network Suite 410
Waterbury, CT 06702
Phone (203) 805-6408
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 003385 | CT | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| State of Connecticut | Past | Accepting new patients |
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 and National Provider Directory roles.
-
dba Connecticut Mental Health Center
- Psychiatric Hospital
- New Haven, CT
- NPI 1881629434
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163462400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1821160003",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "55 WEST MAIN STREET",
"address_2": "WESTERN CONNECTICUT MENTAL HEALTH NETWORK SUITE 410",
"city": "WATERBURY",
"state": "CT",
"postal_code": "06702",
"telephone_number": "203-805-6408",
"fax_number": "203-805-6432"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 WEST MAIN STREET",
"address_2": "WESTERN CONNECTICUT MENTAL HEALTH NETWORK SUITE 410",
"city": "WATERBURY",
"state": "CT",
"postal_code": "06702",
"telephone_number": "203-805-6408",
"fax_number": "203-805-6432"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSENTHAL WHALEN",
"first_name": "SIMIE",
"middle_name": "JAYE",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CT",
"license": "003385",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Waterbury, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.