Individual provider Active NPI

Gilda M Rodriguez, LCSW LADC

  • Clinical Social Worker
  • New Britain, CT
National Provider Identifier
1881706844
Registry record updated Nov 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
006189 Issued in CT
Practice address
90 Franklin SQ
New Britain, CT 06051-2607
Phone
(860) 225-3561
Fax
(860) 225-2558
NPI assigned
Aug 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 006189 CT Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X 000731 CT

Addresses

Primary practice location

90 Franklin SQ
New Britain, CT 06051-2607

Mailing address

90 Franklin SQ
New Britain, CT 06051-2607
Phone (860) 225-3561

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
I20061031000043 CT Practitioner - Clinical Social Worker 8426006719 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Hockanum Valley Community Council, Inc.Group PAC ID 3476534017, 8 clinicians

Practice addresses (Care Compare)

27 Naek Rd
Suite 4
Vernon, CT 06066-3965
Phone (860) 872-9825

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
006189CTMDClinical Social Worker
000731CTMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Hockanum Valley Community Council, Inc. CurrentSince Nov 13, 2017 Accepting new patients
Rushford Center, Inc. Clinical Past Accepting new patients
The Hospital of Central Connecticut at New Britain General and Bradley Past Accepting new patients

Locations

27 Naek Rd
Ste 4
Vernon Rockville, CT 06066
Phone (860) 872-9825

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415836800000",
    "number": "1881706844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 FRANKLIN SQ",
            "city": "NEW BRITAIN",
            "state": "CT",
            "postal_code": "060512607",
            "telephone_number": "860-225-3561",
            "fax_number": "860-225-2558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 FRANKLIN SQ",
            "city": "NEW BRITAIN",
            "state": "CT",
            "postal_code": "060512607",
            "telephone_number": "860-225-3561",
            "fax_number": "860-225-2558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "GILDA",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "LCSW  LADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2014-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "006189",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CT",
            "license": "000731",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Britain, CT

Sources for this page

Verify at the official NPI Registry.