Enrique Antonio Rosario, LCSW-R

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

R039068 Issued in NY

Practice address

200 Gateway Park Dr
Syracuse, NY 13212-3760

Phone

(315) 391-7770

NPI assigned

Jan 26, 2007

Last updated

Oct 2, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 1986

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

I -View Psychiatric NP Behavioral Therapy PCGroup PAC ID 2264715630, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Essentia Telehealth Wellness, LCSW, PLLC

  • Clinical Social Worker
  • Fayetteville, NY
  • NPI 1184459448
  Medicare reassignment NPD Authorized official
• I - View Psychiatric NP Behavioral Therapy PC

  • Psychiatric/Mental Health Nurse Practitioner
  • Syracuse, NY
  • NPI 1720535099
  Medicare reassignment Care Compare group NPD
• Bright Path Center, Inc.

  dba Bright Path Counseling Center

  • Social Worker
  • North Syracuse, NY
  • NPI 1316046113

  Clinical

  Medicare reassignment NPD
• Essentia Telehealth and Wellness

  • Clinical Social Worker
  • Fayetteville, NY
  • NPI 1104668839
  NPD Authorized official
• Delconte Counseling LCSW PC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • N Syracuse, NY
  • NPI 1427810787
  NPD
• I-Mobile Health Mission Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Syracuse, NY
  • NPI 1043724529
  NPD
• Cayuga Counseling Services Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Auburn, NY
  • NPI 1194874610
  NPD (past)
• County of Wayne

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Lyons, NY
  • NPI 1003824855
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727827200000",
    "number": "1053467753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 MECHANIC ST",
            "city": "FAYETTEVILLE",
            "state": "NY",
            "postal_code": "130661333",
            "telephone_number": "505-365-1519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 GATEWAY PARK DR",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132123760",
            "telephone_number": "315-391-7770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSARIO",
        "first_name": "ENRIQUE",
        "middle_name": "ANTONIO",
        "credential": "LCSW-R",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-26",
        "last_updated": "2024-10-02",
        "certification_date": "2024-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R039068",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roberta A Root
• Tammy Ann Root, FNP
• Lazaro Rosales, MD
• Marlene C Rosales, MD
• Jessica M Rosario-Falero, MD
• Brenda J Rose, FNP
• Dorothy M Rose, LMFT
• Frederick B Rose, MD
• Jennifer Rose, LCSW
• Tricia D. Rose, OD

• Clinical Social Worker in Syracuse, NY
• Providers in Syracuse, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.