Active NPI
Robert Johnston Trafford, LCSW
- Clinical Social Worker
- Glastonbury, CT
National Provider Identifier
1992845325
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 001193
- Practice address
- 36 Welles St Ste 230
Glastonbury, CT 06033-2080 - Phone
- (869) 523-0288
- Fax
- (860) 652-3431
- NPI assigned
- Feb 7, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 | 001193 | CT | Primary |
Addresses
Primary practice location
36 Welles St Ste 230
Glastonbury, CT 06033-2080
Mailing address
158 Selden Hill Dr
West Hartford, CT 06107-3129
Phone (860) 523-0288
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 205426 | Other | CT | COMPSYCH |
| 0005432528 | Other | CT | AETNA BEHAVIORAL HEALTH |
| 42692 | Other | CT | CIGNA |
| 208736000 | Other | CT | MAGELLAN |
| 140001193CT18 | Other | CT | ANTHEM |
| P1249702 | Other | CT | OXFORD |
| 62-71812 | Other | CT | UNITED BEHAVIORAL HEALTH |
| 133092 | Other | CT | VALUE OPTIONS |
| 140001193CT19 | Other | CT | ANTHEM |
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)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1193 | CT | MD | Ophthalmic Technician/Technologist |
| 001193 | CT | MD | Orthopedic Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Robert G. Lussier, M.D., LLC | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Psychiatry Physician
- Glastonbury, CT
- NPI 1154509347
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1295395200000",
"number": "1992845325",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "158 SELDEN HILL DR",
"city": "WEST HARTFORD",
"state": "CT",
"postal_code": "061073129",
"telephone_number": "860-523-0288",
"fax_number": "860-652-3431"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "36 WELLES ST STE 230",
"city": "GLASTONBURY",
"state": "CT",
"postal_code": "060332080",
"telephone_number": "869-523-0288",
"fax_number": "860-652-3431"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRAFFORD",
"first_name": "ROBERT",
"middle_name": "JOHNSTON",
"name_prefix": "Mr.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-07",
"last_updated": "2011-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CT",
"license": "001193",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMPSYCH",
"identifier": "205426",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA BEHAVIORAL HEALTH",
"identifier": "0005432528",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "42692",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN",
"identifier": "208736000",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "140001193CT18",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "P1249702",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED BEHAVIORAL HEALTH",
"identifier": "62-71812",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS",
"identifier": "133092",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "140001193CT19",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Glastonbury, CT
- Total Wellness Dentistry PLLC
- Totalvision Eyecare Center of Glastonbury,LLC
- Town of Glastonbury (Health Department)
- Tracy S Morales, LCSW
- Trading Spaces ABA, LLC
- Trailhead Therapy LLC
- Transitions: a Counseling Center for Individuals and Families, LLC (Carey A. Beyor)
- Trepsicore LLC
- Arie Gerhard Trouw, M.D.
- Lorraine Johanna Trow, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.