Individual provider Active NPI

Orly Rosenberg, LCSWC

  • Clinical Social Worker
  • Towson, MD
National Provider Identifier
1083188353
Registry record updated May 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
20910 Issued in MD
Practice address
8415 Bellona LN Ste 203
Towson, MD 21204-2066
Phone
(410) 777-8151
NPI assigned
Jan 19, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 20910 MD Primary

Addresses

Primary practice location

8415 Bellona LN Ste 203
Towson, MD 21204-2066

Mailing address

1316 Dellwood Ave
Baltimore, MD 21211-1713
Phone (410) 598-6023

Other practice location 1

1316 Dellwood Ave
Baltimore, MD 21211-1713
Phone (410) 598-6023

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 1, 2023 through Jan 1, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Rosenberg Psychotherapy, LLC Clinical CurrentSince May 16, 2022 Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1547856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589500800000",
    "number": "1083188353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1316 DELLWOOD AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212111713",
            "telephone_number": "410-598-6023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8415 BELLONA LN STE 203",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212042066",
            "telephone_number": "410-777-8151"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1316 Dellwood Ave",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212111713",
            "country_code": "US",
            "telephone_number": "410-598-6023",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSENBERG",
        "first_name": "ORLY",
        "credential": "LCSWC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-19",
        "last_updated": "2020-05-15",
        "certification_date": "2020-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "20910",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Towson, MD

Sources for this page

Verify at the official NPI Registry.