Active NPI
Anna Kaija Roush, LCSW-C
- Clinical Social Worker
- Annapolis, MD
National Provider Identifier
1164446639
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 12622
- Practice address
- 108 Old Solomons Island Rd
Suite U-7
Annapolis, MD 21401-3845 - Phone
- (410) 841-5099
- Fax
- (410) 266-6278
- NPI assigned
- Jul 27, 2006
- Sex
- Female
- Sole proprietor
- No
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 | 12622 | MD | Primary |
Addresses
Primary practice location
108 Old Solomons Island Rd
Suite U-7
Annapolis, MD 21401-3845
Mailing address
108 Old Solomons Island Rd
Suite U-7
Annapolis, MD 21401-3845
Phone (410) 841-5099
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 |
|---|---|---|---|
| 12622 | MD | MD | Pharmacotherapy Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1211932800000",
"number": "1164446639",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "108 OLD SOLOMONS ISLAND RD",
"address_2": "SUITE U-7",
"city": "ANNAPOLIS",
"state": "MD",
"postal_code": "214013845",
"telephone_number": "410-841-5099",
"fax_number": "410-266-6278"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "108 OLD SOLOMONS ISLAND RD",
"address_2": "SUITE U-7",
"city": "ANNAPOLIS",
"state": "MD",
"postal_code": "214013845",
"telephone_number": "410-841-5099",
"fax_number": "410-266-6278"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROUSH",
"first_name": "ANNA",
"middle_name": "KAIJA",
"name_prefix": "Mrs.",
"credential": "LCSW-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-27",
"last_updated": "2008-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MD",
"license": "12622",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Annapolis, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.