Active NPI
Beth Rachael Rosenbaum, MSW LCSW ACSW
- Clinical Social Worker
- Radnor, PA
National Provider Identifier
1083756589
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CW007606L
- Practice address
- 320 King of Prussia Rd
Radnor, PA 19087-4440 - Phone
- (215) 254-1580
- Fax
- (215) 487-3972
- NPI assigned
- Feb 12, 2007
- 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 | CW007606L | PA | Primary |
Addresses
Primary practice location
320 King of Prussia Rd
Radnor, PA 19087-4440
Mailing address
6708 MC Callum St
Philadelphia, PA 19119
Phone (215) 843-5672
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1000008810009 | Medicaid | PA | |
| 1000008810025 | Other | PA | DEPT OF PUBLIC WELFARE ME |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CW007606L | PA | MD | Clinical Social Worker |
Interoperability endpoints
- dcp.bethrosenbaum@141748.advancedmd-direct.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171238400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1292889600000",
"number": "1083756589",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6708 MC CALLUM ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "19119",
"telephone_number": "215-843-5672"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "320 KING OF PRUSSIA RD",
"city": "RADNOR",
"state": "PA",
"postal_code": "190874440",
"telephone_number": "215-254-1580",
"fax_number": "215-487-3972"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSENBAUM",
"first_name": "BETH",
"middle_name": "RACHAEL",
"name_prefix": "Ms.",
"credential": "MSW LCSW ACSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-12",
"last_updated": "2010-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "PA",
"license": "CW007606L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1000008810009",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEPT OF PUBLIC WELFARE ME",
"identifier": "1000008810025",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Radnor, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.