Ronicia Rose

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

34005851A Issued in IN

Practice address

1308 N Main St
Crown Point, IN 46307-2719

Phone

(219) 663-6353

NPI assigned

Jan 31, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Southlake Community Mental Health Center Inc.

  • Clinic/Center
  • Merrillville, IN
  • NPI 1821081290
  Medicare reassignment NPD
• Southlake Community Mental Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Merrillville, IN
  • NPI 1477007292
  NPD

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

{
    "created_epoch": "1517356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517356800000",
    "number": "1174021505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1308 N MAIN ST",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463072719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1308 N MAIN ST",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463072719",
            "telephone_number": "219-663-6353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSE",
        "first_name": "RONICIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-31",
        "last_updated": "2018-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34005851A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonathan Romo, RBT
• Miceal C. Rooney, PSY.D.
• Ashley Rorer
• Ezequiel Rosas Jr., RBT
• Mayra A. Rosas
• Marylyn A Rosencranz, D.O.
• Julia Elizabeth Ross, NP-C
• Kamara Ross
• Dawn Marie Rossi, O.T.R.
• Suzanne Marie Rossiter, AGPCNP

• Clinical Social Worker in Crown Point, IN
• Providers in Crown Point, IN by specialty
• Clinical Social Worker in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.