Annie Ryan Adams-Roselle – Clinical Social Worker

Key facts

NPI: 1255735874
Entity type: Individual (NPI type 1)
Primary specialty: Clinical Social Worker 1041C0700X
License: 82163 (CA)
Practice address: 1500 21St St
Sacramento, CA 95811-5216
Phone: (916) 443-3299
NPI assigned: Oct 9, 2014
Sex: Female
Sole proprietor: No

Organizations & group practices 3

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.

Brighter Beginnings Federally Qualified Health Center (FQHC) · Richmond, CA · NPI 1942638978

Medicare reassignment NPD CA
Brighter Beginnings Community/Behavioral Health Agency · Oakland, CA · NPI 1629275839

NPD
Sacramento Native American Health Center Inc Federally Qualified Health Center (FQHC) · Sacramento, CA · NPI 1588756530

NPD

Medicare participation

Medicare fee-for-service enrollment: Enrolled in CA
Eligible to order & refer: Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
I20210811002234	CA	Practitioner - Clinical Social Worker	1456755511	Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD): Yes

State licenses

License	State	Type	Specialty
82163	CA	MD	Pharmacist

Practice roles

Organization	Status	New patients
Brighter Beginnings	Current since Mar 20, 2023	Accepting new patients
Brighter Beginnings	Current since Mar 20, 2023	Accepting new patients
Sacramento Native American Health Center Inc	Current since Apr 27, 2022	Accepting new patients

Locations

3505 Lone Tree Way
Ste 1
Antioch, CA 94509
Phone (925) 303-4780

2727 Macdonald Ave
Richmond, CA 94804
Phone (510) 213-6681

2020 J St
Sacramento, CA 95811
Phone (916) 341-0575

Interoperability endpoints

FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Clinical Social Worker	1041C0700X	82163	CA	Yes

Addresses

Primary practice location

1500 21St St
Sacramento, CA 95811-5216

Mailing address

1500 21St St
Sacramento, CA 95811-5216
Phone (916) 443-3299

Other names

Annie Ryan Adams Former name

Other providers in Sacramento, CA

All providers in Sacramento, CA · Clinical Social Worker in California

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 25, 2021. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
Order and Referring (CMS).
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.