Active NPI
Roberta R Rosenberg, LCSW
- Clinical Social Worker
- Santa Rosa, CA
National Provider Identifier
1184068884
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 27261
- Practice address
- 1008 5TH St
Santa Rosa, CA 95404-4307 - Phone
- (707) 523-8009
- Fax
- (707) 523-8009
- NPI assigned
- Apr 24, 2013
- 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 | 27261 | CA | Primary |
Addresses
Primary practice location
1008 5TH St
Santa Rosa, CA 95404-4307
Mailing address
1535 Farmers LN
Santa Rosa, CA 95405-7525
Phone (707) 569-0279
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 |
|---|---|---|---|
| 27261 | CA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1366761600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1381708800000",
"number": "1184068884",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1535 FARMERS LN",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "954057525",
"telephone_number": "707-569-0279"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1008 5TH ST",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "954044307",
"telephone_number": "707-523-8009",
"fax_number": "707-523-8009"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSENBERG",
"first_name": "ROBERTA",
"middle_name": "R",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-04-24",
"last_updated": "2013-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "27261",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Rosa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 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.