Individual provider Active NPI

Barbara J Fasulo, LCSW

  • Clinical Social Worker
  • Middletown, CT
National Provider Identifier
1952883258
Registry record updated Sep 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
11785 Issued in 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
Last updated
Sep 12, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 12, 2026

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 11785 CT Primary

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

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL 2601:181:4600:7a80:5cd5:2ad1:fe1c:bd8

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
I20211214000052 CT Practitioner - Clinical Social Worker 0941690556 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Barbara J. Fasulo, LCSW, LLC CurrentSince Oct 23, 2021 Accepting new patients

Locations

28 Shunpike Rd
Ste 5
Cromwell, CT 06416

2257 Silas Deane Hwy
Rocky Hill, CT 06067
Phone (860) 257-7448

Organizations & group practices 1

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": "1536019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789171200000",
    "number": "1952883258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "59 CLUBHOUSE DR",
            "city": "CROMWELL",
            "state": "CT",
            "postal_code": "064162565",
            "telephone_number": "860-416-5288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "460 SMITH ST STE G",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064571594",
            "telephone_number": "860-416-5288",
            "fax_number": "866-085-6008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FASULO",
        "first_name": "BARBARA",
        "middle_name": "J",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-04",
        "last_updated": "2026-09-12",
        "certification_date": "2026-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "11785",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "2601:181:4600:7a80:5cd5:2ad1:fe1c:bd8",
            "affiliation": "N",
            "address_1": "460 Smith Street",
            "address_2": "Unit G",
            "city": "Middletown",
            "state": "CT",
            "country_code": "US",
            "postal_code": "06457",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Middletown, CT

Sources for this page

Verify at the official NPI Registry.