Active NPI
Rosa Maria Baldino, LCSW, MSW
- Clinical Social Worker
- Newtown, CT
National Provider Identifier
1881960763
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 8716
- Practice address
- 54 S Main St
Newtown, CT 06470-5310 - Phone
- (203) 270-5514
- Fax
- (203) 270-5564
- NPI assigned
- Mar 26, 2012
- Last updated
- Jun 24, 2016
- 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 | 8716 | CT | Primary |
Addresses
Primary practice location
54 S Main St
Newtown, CT 06470-5310
Mailing address
141 E Main St
4TH Floor Administration
Waterbury, CT 06702-2310
Phone (203) 574-9000
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12762679 | Other | CAQH | |
| 539511 | Other | CT | TRICARE MHN |
| 4182788 | Other | CT | AETNA BEHAVIORAL HEALTH |
| 008055688 | Medicaid | CT | |
| 4997234 | Other | CT | CIGNA BEHAVIORAL HEALTH |
| 539511 | Other | CT | MHN- MANAGED HEALTH NETWORK |
Other names 1
- Rosa Maria Luis
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 |
|---|---|---|---|
| 8716 | CT | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1332720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1466726400000",
"number": "1881960763",
"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": "54 S MAIN ST",
"city": "NEWTOWN",
"state": "CT",
"postal_code": "064705310",
"telephone_number": "203-270-5514",
"fax_number": "203-270-5564"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BALDINO",
"first_name": "ROSA",
"middle_name": "MARIA",
"credential": "LCSW, MSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-03-26",
"last_updated": "2016-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CT",
"license": "8716",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "12762679",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE MHN",
"identifier": "539511",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA BEHAVIORAL HEALTH",
"identifier": "4182788",
"state": "CT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "008055688",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA BEHAVIORAL HEALTH",
"identifier": "4997234",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MHN- MANAGED HEALTH NETWORK",
"identifier": "539511",
"state": "CT"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ROSA",
"last_name": "LUIS",
"middle_name": "MARIA",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Newtown, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 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.