Active NPI
Robert A Haswell, MSW,BA,LMSW
- Social Worker
- Waterbury, CT
National Provider Identifier
1851662829
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 3047
- Practice address
- 402 E Main St
Waterbury Adult Services
Waterbury, CT 06702-1701 - Phone
- (203) 755-1143
- Fax
- (203) 753-3274
- NPI assigned
- Jan 23, 2012
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 3047 | CT | Primary |
Addresses
Primary practice location
402 E Main St
Waterbury Adult Services
Waterbury, CT 06702-1701
Mailing address
141 E Main St
4TH Floor Administration
Waterbury, CT 06702-2310
Phone (203) 574-9000
Other identifiers 13
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 060669107 | Other | CT | ANTHEM BCBC OF CT FACILITY/GRP WELLMORE |
| 060669107 | Other | CT | UBH-OXFORD LIBERTY/FREEDOM GRP/FACILITY-WELLMORE |
| 13817567 | Other | CT | CAQH |
| D339123-141 E MAIN | Other | CT | VALUE OPTIONS |
| PENDING | Other | CT | CIGNA BEHAVIORAL HEALTH |
| 060669107 | Other | CT | UBH-CONNECTICARE GRP/FACILITY WELLMORE |
| PENDING | Other | CT | AETNA BEHAVIORAL HEALTH |
| 008064297 | Medicaid | CT | |
| 060669107 | Other | CT | HEALTHYCT GRP/FACILITY-WELLMORE |
| 060669106 | Other | CT | UNITED BEHAVIORAL HEALTH GRP/FACILITY-WELLMORE |
| NOT ELIGIBLE | Other | CT | MHN MANAGE HEALTH NETWORK |
| NOT ELIGIBLE | Other | CT | MHN TRICARENORTH |
| 060669107 | Other | CT | UBH-UNITED HEALTHCARE GRP/FACILITY WELLMORE |
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
- Credentials
- Bachelor of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9714 | CT | MD | Endodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1327276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1472083200000",
"number": "1851662829",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "141 E MAIN ST",
"address_2": "4TH FLOOR ADMINISTRATION",
"city": "WATERBURY",
"state": "CT",
"postal_code": "067022310",
"telephone_number": "203-574-9000",
"fax_number": "203-574-9006"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "402 E MAIN ST",
"address_2": "WATERBURY ADULT SERVICES",
"city": "WATERBURY",
"state": "CT",
"postal_code": "067021701",
"telephone_number": "203-755-1143",
"fax_number": "203-753-3274"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HASWELL",
"first_name": "ROBERT",
"middle_name": "A",
"name_prefix": "Mr.",
"credential": "MSW,BA,LMSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-01-23",
"last_updated": "2016-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CT",
"license": "3047",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BCBC OF CT FACILITY/GRP WELLMORE",
"identifier": "060669107",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UBH-OXFORD LIBERTY/FREEDOM GRP/FACILITY-WELLMORE",
"identifier": "060669107",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "13817567",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS",
"identifier": "D339123-141 E MAIN",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA BEHAVIORAL HEALTH",
"identifier": "PENDING",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UBH-CONNECTICARE GRP/FACILITY WELLMORE",
"identifier": "060669107",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA BEHAVIORAL HEALTH",
"identifier": "PENDING",
"state": "CT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "008064297",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHYCT GRP/FACILITY-WELLMORE",
"identifier": "060669107",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED BEHAVIORAL HEALTH GRP/FACILITY-WELLMORE",
"identifier": "060669106",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MHN MANAGE HEALTH NETWORK",
"identifier": "NOT ELIGIBLE",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MHN TRICARENORTH",
"identifier": "NOT ELIGIBLE",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UBH-UNITED HEALTHCARE GRP/FACILITY WELLMORE",
"identifier": "060669107",
"state": "CT"
}
],
"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 Aug 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.