Healthcare Provider Details

I. General information

NPI: 1851242317
Provider Name (Legal Business Name): NICHOLAS ROSSETTI LCSW
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/09/2026
Last Update Date: 02/09/2026
Certification Date: 02/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

41 MARNE STREET
HAMDEN CT
06514
US

IV. Provider business mailing address

229 BRANFORD RD UNIT 459
NORTH BRANFORD CT
06471-1319
US

V. Phone/Fax

Practice location:
  • Phone: 203-772-1270
  • Fax:
Mailing address:
  • Phone: 203-815-9701
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number014537
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: