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General NPI Number Information
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NPI Number | 1205245776
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Entity Type | Individual
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Provider Name | JERENA ROZARIO LCSW
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Gender | Female
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Dates
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Enumeration Date | 08/08/2014
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Last Update Date | 05/21/2025
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Provider Practice Location Address
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Address Line | 268 POST RD STE 200
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City | FAIRFIELD
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State | CT
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Zip | 06824-6220
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Country | US
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Telephone | 860-602-8911
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Fax |
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Provider Business Mailing Address
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Address Line | 222 NORTHPOINT AVE UNIT A
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City | HIGH POINT
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State | NC
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Zip | 27262-1013
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Country | US
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Telephone | 860-202-3581
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 010099
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License Number State | CT
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