Individual provider Active NPI

Scott Rosenberg, LCSW

  • Clinical Social Worker
  • Long Island City, NY
National Provider Identifier
1144597733
Registry record updated Oct 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
079104 Issued in NY
Practice address
2268 31St St Unit 5606
Long Island City, NY 11105-3091
Phone
(347) 620-5433
Fax
(347) 658-3522
NPI assigned
Nov 26, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 31, 2024

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 079104 NY Primary

Addresses

Primary practice location

2268 31St St Unit 5606
Long Island City, NY 11105-3091

Mailing address

2268 31St St Unit 5606
Long Island City, NY 11105-3091
Phone (347) 620-5433

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
079104NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Affirming Psychotherapy LCSW PC Clinical CurrentSince Nov 3, 2024 Accepting new patients

Locations

2268 31st St
Unit 5606
Long Island City, NY 11105
Phone (347) 620-5433

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": "1322265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730332800000",
    "number": "1144597733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2268 31ST ST UNIT 5606",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111053091",
            "telephone_number": "347-620-5433",
            "fax_number": "347-658-3522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2268 31ST ST UNIT 5606",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111053091",
            "telephone_number": "347-620-5433",
            "fax_number": "347-658-3522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENBERG",
        "first_name": "SCOTT",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-11-26",
        "last_updated": "2024-10-31",
        "certification_date": "2024-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "079104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Island City, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2024; 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.