Individual provider Active NPI

Claudia Rosen, M.S.W,, L.C.S.W

  • Clinical Social Worker
  • Evanston, IL
National Provider Identifier
1245480664
Registry record updated Sep 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149-003497 Issued in IL
Practice address
1565 Sherman Ave
2ND Floor
Evanston, IL 60201-4421
Phone
(847) 622-4448
Fax
(847) 574-7478
NPI assigned
Sep 22, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 22, 2008

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 149-003497 IL Primary

Addresses

Primary practice location

1565 Sherman Ave
2ND Floor
Evanston, IL 60201-4421

Mailing address

1565 Sherman Ave
2ND Floor
Evanston, IL 60201-4421
Phone (847) 622-4448

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
149-003497ILMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1222041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222041600000",
    "number": "1245480664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1565 SHERMAN AVE",
            "address_2": "2ND FLOOR",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602014421",
            "telephone_number": "847-622-4448",
            "fax_number": "847-574-7478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1565 SHERMAN AVE",
            "address_2": "2ND FLOOR",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602014421",
            "telephone_number": "847-622-4448",
            "fax_number": "847-574-7478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSEN",
        "first_name": "CLAUDIA",
        "name_prefix": "Ms.",
        "credential": "M.S.W,, L.C.S.W",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-22",
        "last_updated": "2008-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149-003497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evanston, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 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.

Verify at the official NPI Registry.