Active NPI
Alison A Roessle, LCSW
- Clinical Social Worker
- Hartford, CT
National Provider Identifier
1831288638
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 001183
- Practice address
- 664 Prospect Avenue
Second Floor
Hartford, CT 06105 - Phone
- (860) 233-4830
- Fax
- (860) 231-6222
- NPI assigned
- Oct 12, 2006
- Last updated
- Jul 8, 2007
- 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 | 001183 | CT | Primary |
Addresses
Primary practice location
664 Prospect Avenue
Second Floor
Hartford, CT 06105
Mailing address
664 Prospect Avenue
Second Floor
Hartford, CT 06105
Phone (860) 233-4830
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 140001183CT04 | Other | CT | ANTHEM BLUE CROSS |
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 |
|---|---|---|---|
| 001183 | CT | MD | Clinical Social Worker |
| 1183 | CT | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1831288638",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "664 PROSPECT AVENUE",
"address_2": "SECOND FLOOR",
"city": "HARTFORD",
"state": "CT",
"postal_code": "06105",
"telephone_number": "860-233-4830",
"fax_number": "860-231-6222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "664 PROSPECT AVENUE",
"address_2": "SECOND FLOOR",
"city": "HARTFORD",
"state": "CT",
"postal_code": "06105",
"telephone_number": "860-233-4830",
"fax_number": "860-231-6222"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROESSLE",
"first_name": "ALISON",
"middle_name": "A",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CT",
"license": "001183",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BLUE CROSS",
"identifier": "140001183CT04",
"state": "CT"
}
],
"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 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.