Rosanne Janes Derix, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

107 Wilcox Rd Ste 107E
Stonington, CT 06378-2614

Phone

(860) 295-4371

NPI assigned

Dec 28, 2018

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Child and Family Agency of Southeastern Connecticut, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • New London, CT
  • NPI 1093762114
  NPD (past)
• Child and Family Agency of Southeastern Connecticut, Inc.

  • Clinic/Center
  • Groton, CT
  • NPI 1467468025
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1545955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729555200000",
    "number": "1831661024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 LYNN LN",
            "city": "ASHAWAY",
            "state": "RI",
            "postal_code": "028041313",
            "telephone_number": "401-932-3137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 WILCOX RD STE 107E",
            "city": "STONINGTON",
            "state": "CT",
            "postal_code": "063782614",
            "telephone_number": "860-295-4371"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7 Vauxhall St",
            "address_purpose": "LOCATION",
            "city": "New London",
            "state": "CT",
            "postal_code": "063205711",
            "country_code": "US",
            "telephone_number": "860-442-2797",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DERIX",
        "first_name": "ROSANNE",
        "middle_name": "JANES",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-12-28",
        "last_updated": "2024-10-22",
        "certification_date": "2024-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "010988",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elda Storey Chesebrough, MSW, LCSW
• Cobbs Optical Shoppe LTD
• Anne J Colyn, LIC. AC.
• CT Psychological PLLC
• Daughter for Loan LLC
• Christy Felicidad Dresback, M.C.D.
• Elizabeth Tobin Brown, LCSW, LLC
• Nancy Ferrero, LMFT
• Fitnutrition, LLC
• Sheryl Floyd, LMT

• All providers in Stonington, CT
• Clinical Social Worker in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.