Active NPI
Judith S Rothenberg, MSW, LCSW
- Clinical Social Worker
- Jupiter, FL
National Provider Identifier
1104913375
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SW 5032
- Practice address
- 1080 E Indiantown Rd
Suite. 104a
Jupiter, FL 33477-5100 - Phone
- (772) 284-4147
- Fax
- (772) 545-3494
- NPI assigned
- Oct 6, 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 | SW 5032 | FL | Primary |
Addresses
Primary practice location
1080 E Indiantown Rd
Suite. 104a
Jupiter, FL 33477-5100
Mailing address
13199 SE Spyglass CT
Hobe Sound, FL 33455-7244
Phone (772) 284-4147
Other names 1
- Judith S Rothenberg
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 |
|---|---|---|---|
| SW 5032 | FL | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Treasure Coast Counseling Center Inc | Past | 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.
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Port St Lucie, FL
- NPI 1558686170
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160092800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1378684800000",
"number": "1104913375",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13199 SE SPYGLASS CT",
"city": "HOBE SOUND",
"state": "FL",
"postal_code": "334557244",
"telephone_number": "772-284-4147",
"fax_number": "772-545-3494"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1080 E INDIANTOWN RD",
"address_2": "SUITE. 104A",
"city": "JUPITER",
"state": "FL",
"postal_code": "334775100",
"telephone_number": "772-284-4147",
"fax_number": "772-545-3494"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROTHENBERG",
"first_name": "JUDITH",
"middle_name": "S",
"name_prefix": "Mrs.",
"credential": "MSW, LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-06",
"last_updated": "2013-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "SW 5032",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JUDITH",
"last_name": "ROTHENBERG",
"middle_name": "S",
"credential": "LCSW",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Jupiter, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.