Active NPI
Lauren L Rose, LCSW
- Clinical Social Worker
- Rye, NY
National Provider Identifier
1013072503
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- R043222-1
- Practice address
- 44 Purchase St
Rye, NY 10580-3016 - Phone
- (914) 937-3566
- NPI assigned
- Dec 26, 2006
- Sex
- Female
- 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 | R043222-1 | NY | Primary |
Addresses
Primary practice location
44 Purchase St
Rye, NY 10580-3016
Mailing address
39 Meadowlark Rd
Rye Brook, NY 10573-1221
Phone (914) 522-9784
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Apr 20, 2025 through Apr 20, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R043222-1 | NY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167091200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1542240000000",
"number": "1013072503",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "39 MEADOWLARK RD",
"city": "RYE BROOK",
"state": "NY",
"postal_code": "105731221",
"telephone_number": "914-522-9784"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "44 PURCHASE ST",
"city": "RYE",
"state": "NY",
"postal_code": "105803016",
"telephone_number": "914-937-3566"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSE",
"first_name": "LAUREN",
"middle_name": "L",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-26",
"last_updated": "2018-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "R043222-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rye, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.