Individual provider Active NPI

Beth M Roberts, LCSW

  • Clinical Social Worker
  • Hartford, CT
National Provider Identifier
1871669267
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
004778 Issued in CT
Practice address
56 Arbor St
Suite 215
Hartford, CT 06106-1201
Phone
(860) 233-1345
Fax
(860) 233-1346
NPI assigned
Nov 28, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 004778 CT Primary

Addresses

Primary practice location

56 Arbor St
Suite 215
Hartford, CT 06106-1201

Mailing address

56 Arbor St
Suite 215
Hartford, CT 06106-1201
Phone (860) 233-1345

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100805000705 CT Practitioner - Clinical Social Worker 6901939396 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Middlesex HospitalGroup PAC ID 5092611731, shared by 7 NPIs, 231 clinicians

Practice addresses (Care Compare)

1 Macdonough PL
Middletown, CT 06457-3607
Phone (860) 358-4034

28 Crescent St
Middletown, CT 06457-3654
Phone (860) 358-6760

90 S Main St
Middletown, CT 06457-3649
Phone (860) 358-4821

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
004778CTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Middlesex Hospital CurrentSince Apr 26, 2010 Accepting new patients
Connecticut Pathology Group PC Current Accepting new patients
Middlesex Hospital Clinical CurrentSince Apr 16, 2024 Accepting new patients
Middlesex Hospital CurrentSince Apr 26, 2010 Accepting new patients
Middlesex Hospital CurrentSince Jul 31, 2024 Accepting new patients

Locations

42 E High St
Ste 205
East Hampton, CT 06424
Phone (860) 358-3500

90 S Main St
Middletown, CT 06457
Phone (860) 358-6300

28 Crescent St
Middletown, CT 06457
Phone (860) 358-6000

13 High St
Portland, CT 06480
Phone (860) 358-6418

Organizations & group practices 5

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1871669267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56 ARBOR ST",
            "address_2": "SUITE 215",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061061201",
            "telephone_number": "860-233-1345",
            "fax_number": "860-233-1346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56 ARBOR ST",
            "address_2": "SUITE 215",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061061201",
            "telephone_number": "860-233-1345",
            "fax_number": "860-233-1346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "BETH",
        "middle_name": "M",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "004778",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hartford, CT

Sources for this page

Verify at the official NPI Registry.