Mitchell Frank Rouzie, M.S.W.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

R062183-1 Issued in NY

Practice address

482 Bard Ave
Staten Island, NY 10310-2105

Phone

(718) 981-6158

Fax

(718) 447-8400

NPI assigned

Aug 22, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Integrative Psychotherapists LCSW LLC

  • Clinical Social Worker
  • Staten Island, NY
  • NPI 1720575764
  NPD (past)

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124134036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "380 HENDERSON AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103101617",
            "telephone_number": "718-981-6158",
            "fax_number": "718-447-8400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "482 BARD AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103102105",
            "telephone_number": "718-981-6158",
            "fax_number": "718-447-8400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROUZIE",
        "first_name": "MITCHELL",
        "middle_name": "FRANK",
        "name_prefix": "Mr.",
        "credential": "M.S.W.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R062183-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS/GHI",
            "identifier": "7480477",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET/MHN",
            "identifier": "227819",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Richard Rouder DPM
• Rouming Tots Inc
• George Panagiotis Roussis, MD
• Nicholas Panagiotis Roussis, MD
• Adam Routher, CRPA
• Tinamarie Rovito Gomez, PHD
• Germaine N Rowe, MD
• Holly Odianna Rowe, RN
• Jordan Roy
• Lauren Sara Roy

• Clinical Social Worker in Staten Island, NY
• Providers in Staten Island, 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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.