MRS. GINA ROSE (LCSW) – Clinical Social Worker, NPI 1194185686

MRS. GINA ROSE (LCSW) is a healthcare provider. based in Windsor, Connecticut. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LCSW. The NPI Number for MRS. GINA ROSE (LCSW) is 1194185686

Main info

Female
11 Years Of Experience
Name
MRS. GINA ROSE (LCSW)
NPI
1194185686
Phone
(860) 731-5522
Address
2 WATERSIDE XING STE 401
Enumeration Date
26 February 2016
Last Update Date
24 January 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2035188218
Graduation Year
2015 (11 years ago)
PAC ID
7517353733
Group Practice PAC ID
8820480734
Professional Enrollment ID
I20220414002039
Address ID
CT067053222WA211XXDRXX302
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience35
Completeness75
Years active:10State licenses:0Digital endpointsOther names

2,151 CLINICAL SOCIAL WORKER in CT

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Provider Addresses for MRS. GINA ROSE (LCSW)

  • Waterside Crossing, Windsor, Hartford County, Connecticut, 06095, United States

    WINDSOR, CT 060951588

    Phone: (860) 731-5522

    Fax: (860) 731-5536

    Type: Mailing

  • 444, Center Street, Hilliardville, Manchester, Hartford County, Connecticut, 06040, United States

    MANCHESTER, CT 06040

    Phone: (860) 646-3888

    Fax: (860) 645-4132

    Type: Location

  • 55 GREAT MEADOW LN

    AVON, CT 060014549

    Phone: (959) 226-8411

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-09-29

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20220414002039IClinical Social WorkerCTTBD
I20250929000882IClinical Social WorkerNCTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90837Psychotherapy, 1 hour14614$0
View full utilization report →

Insurance plans in this area (ZIP 06095)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8820480734View full group profile
NameSpecialtyState
Nurse PractitionerCT
Clinical Social WorkerCT
Nurse PractitionerCT
Nurse PractitionerCT
Mental Health CounselorCT
Mental Health CounselorCT
Mental Health CounselorCT
Nurse PractitionerCT
Clinical Social WorkerCT
Mental Health CounselorCT

Reviews

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Frequently asked questions

What identifier follows MRS. GINA ROSE (LCSW) across health systems?
The NPI 1194185686 uniquely identifies MRS. GINA ROSE (LCSW) in U.S. healthcare data.
Should I treat MRS. GINA ROSE (LCSW) as an active provider?
Patients and plans typically see MRS. GINA ROSE (LCSW) as active in the national extract.
What services align with MRS. GINA ROSE (LCSW)'s listing?
MRS. GINA ROSE (LCSW)'s public classification highlights Clinical Social Worker. Clinical services aligned with this taxonomy classification.
What city is tied to MRS. GINA ROSE (LCSW)?
The directory associates MRS. GINA ROSE (LCSW) with Windsor, Connecticut. Check all listed addresses for suites or satellite offices.
Why is information missing for MRS. GINA ROSE (LCSW)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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