Individual provider Active NPI

Nicole M Rosenberger, MSW, LCSW

  • Clinical Social Worker
  • Casper, WY
National Provider Identifier
1104097476
Registry record updated Mar 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW-598 Issued in WY
Practice address
350 N Ash St
Casper, WY 82601-1808
Phone
(307) 232-0159
Fax
(307) 232-0163
NPI assigned
Mar 14, 2008
Last updated
Mar 14, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2008

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 LCSW-598 WY Primary

Addresses

Primary practice location

350 N Ash St
Casper, WY 82601-1808

Mailing address

350 N Ash St
Casper, WY 82601-1808
Phone (307) 232-0159

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY
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

Enrollment IDStateProvider typePAC IDDetails
I20080418000077 WY Practitioner - Clinical Social Worker 7719064393 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1905 E a St
Casper, WY 82601-2224
Phone (307) 277-3754

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCSW-598WYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Rosenberger LLC Clinical CurrentSince Sep 3, 2021 Accepting new patients
Children's Advocacy Project Inc Clinical Past Accepting new patients

Locations

1905 E A St
Casper, WY 82601
Phone (307) 277-3754

6500 E 2nd St
Ste 101
Casper, WY 82609
Phone (307) 462-4876

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1205452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205452800000",
    "number": "1104097476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 N ASH ST",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826011808",
            "telephone_number": "307-232-0159",
            "fax_number": "307-232-0163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 N ASH ST",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826011808",
            "telephone_number": "307-232-0159",
            "fax_number": "307-232-0163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENBERGER",
        "first_name": "NICOLE",
        "middle_name": "M",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-14",
        "last_updated": "2008-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WY",
            "license": "LCSW-598",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Casper, WY

Sources for this page

Verify at the official NPI Registry.