Barbara J Fasulo, LCSW
Individual provider Active NPI Clinical Social Worker · Middletown, CT
NPI 1952883258 · NPPES record last updated Sep 12, 2026
Key facts
- NPI
- 1952883258
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 11785 (CT)
- Practice address
- 460 Smith St Ste G
Middletown, CT 06457-1594 - Phone
- (860) 416-5288
- Fax
- (866) 085-6008
- NPI assigned
- Sep 4, 2018
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
2257 Silas Deane Hwy
Rocky Hill, CT 06067-2328
Phone (860) 416-5288
59 Clubhouse Dr
Cromwell, CT 06416-2565
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20211214000052 | CT | Practitioner - Clinical Social Worker | 0941690556 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Barbara J. Fasulo, LCSW, LLC | Current |
Accepting new patients |
Locations
28 Shunpike Rd
Ste 5
Cromwell, CT 06416
2257 Silas Deane Hwy
Rocky Hill, CT 06067
Phone (860) 257-7448
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 11785 | CT | Yes |
Addresses
Primary practice location
460 Smith St Ste G
Middletown, CT 06457-1594
Mailing address
59 Clubhouse Dr
Cromwell, CT 06416-2565
Phone (860) 416-5288
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11785 | Other | CT | LCSW |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | 2601:181:4600:7a80:5cd5:2ad1:fe1c:bd8 |
Other providers in Middletown, CT
- Gail Farmer Peloquin
- Natasha Farooqi
- Michael P. Farrell
- Stephanie Farrell
- Scottmichael Farrey
- Donna Jean Faulkner
- Jennifer Feinleib
- Arpad Sandor Fejos
- Chao Feng
- Yun Feng
All providers in Middletown, CT · Clinical Social Worker in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 12, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.