Individual provider Active NPI

Amber Rosier, LICSW

  • Clinical Social Worker
  • Brainerd, MN
National Provider Identifier
1184296196
Registry record updated Jul 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
23575 Issued in MN
Practice address
4682 Wilderness CT # 103
Brainerd, MN 56401-2834
Phone
(218) 820-7671
NPI assigned
Jul 11, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2021

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 23575 MN Primary

Addresses

Primary practice location

4682 Wilderness CT # 103
Brainerd, MN 56401-2834

Mailing address

4682 Wilderness CT # 103
Brainerd, MN 56401-2834
Phone (218) 820-7671

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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

Enrollment IDStateProvider typePAC IDDetails
I20231018000853 MN Practitioner - Clinical Social Worker 1850746363 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

13021 Evergreen Dr
Baxter, MN 56425-7439
Phone (218) 537-3697

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Peak Therapy Services CurrentSince Oct 1, 2023 Accepting new patients
Jennifer Vaughn Therapy Services LLC Clinical PastSince Jul 20, 2021 Accepting new patients

Locations

13021 Evergreen Dr
Baxter, MN 56425
Phone (218) 368-8313

307 W Washington St
Brainerd, MN 56401
Phone (218) 537-3697

Organizations & group practices 2

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": "1625961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625961600000",
    "number": "1184296196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4682 WILDERNESS CT # 103",
            "city": "BRAINERD",
            "state": "MN",
            "postal_code": "564012834",
            "telephone_number": "218-820-7671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4682 WILDERNESS CT # 103",
            "city": "BRAINERD",
            "state": "MN",
            "postal_code": "564012834",
            "telephone_number": "218-820-7671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSIER",
        "first_name": "AMBER",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-11",
        "last_updated": "2021-07-11",
        "certification_date": "2021-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "23575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brainerd, MN

Sources for this page

Verify at the official NPI Registry.