Individual provider Active NPI

Alison Rosa, LCSW

  • Clinical Social Worker
  • Kent, CT
National Provider Identifier
1902447303
Registry record updated Oct 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
58.010539 Issued in CT
Practice address
62 Carter Road
Kent, CT 06757
Phone
(860) 927-3772
NPI assigned
Oct 7, 2019
Last updated
Oct 7, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 7, 2019

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 58.010539 CT Primary

Addresses

Primary practice location

62 Carter Road
Kent, CT 06757

Mailing address

240 Judd Hill Rd
Middlebury, CT 06762-2919
Phone (203) 565-2440

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
I20220301002080 CT Practitioner - Clinical Social Worker 3971997388 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
58.010539CTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
State of Connecticut CurrentSince Nov 25, 2021 Accepting new patients
Rosa Family Therapy LLC Clinical CurrentSince Jan 1, 2023 Accepting new patients
State of Connecticut CurrentSince Nov 25, 2021 Accepting new patients
Medop Behavioral Health Associates PC Clinical PastSince Oct 13, 2019 Accepting new patients
High Watch Recovery Center PastSince Oct 13, 2019 Accepting new patients

Locations

78 Triangle St
Bldg 14
Danbury, CT 06810
Phone (203) 448-3200

450 Columbus Blvd
Ste 1001
Hartford, CT 06103

55 W Main St
Ste 410
Waterbury, CT 06702
Phone (203) 805-6408

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1570406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570406400000",
    "number": "1902447303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 JUDD HILL RD",
            "city": "MIDDLEBURY",
            "state": "CT",
            "postal_code": "067622919",
            "telephone_number": "203-565-2440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "62 CARTER ROAD",
            "city": "KENT",
            "state": "CT",
            "postal_code": "06757",
            "telephone_number": "860-927-3772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSA",
        "first_name": "ALISON",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-07",
        "last_updated": "2019-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "58.010539",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kent, CT

Sources for this page

Verify at the official NPI Registry.