Team Rockstar Sports

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

TEAM ROCKSTAR SPORTS

Practice address

1314 Fall River Ave
Seekonk, MA 02771-5927

Phone

(401) 255-6906

NPI assigned

Jul 9, 2019

Organization subpart

No

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

Authorized official

Name

Mrs. Rose A Molina, LICSW

Title

Lead Clinician

Phone

(401) 255-6906

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kimberly Martinez, LICSW

  • Clinical Social Worker
  • Warwick, RI
  • NPI 1407597156
  NPD (past)

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

{
    "created_epoch": "1562630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562630400000",
    "number": "1194377374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "219 DUNEDIN ST",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029207034",
            "telephone_number": "401-569-2535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1314 FALL RIVER AVE",
            "city": "SEEKONK",
            "state": "MA",
            "postal_code": "027715927",
            "telephone_number": "401-255-6906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEAM ROCKSTAR SPORTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-09",
        "last_updated": "2019-07-09",
        "status": "A",
        "authorized_official_last_name": "MOLINA",
        "authorized_official_first_name": "ROSE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "LEAD CLINICIAN",
        "authorized_official_telephone_number": "401-255-6906",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jared William Stubbs, D.D.S.
• Elizabeth Sullivan, DDS
• Joyce Marie Sunderland, RPH
• Sundog Enterprises, PC
• Sunny Smile V Inc
• The Willow Tree NE, LLC
• Alejandra Torres Lora, DC
• Town of Seekonk
• Town of Seekonk
• Daniel Tracy, DDS

• Clinical Social Worker in Seekonk, MA
• Providers in Seekonk, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2019; 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.