Individual provider Active NPI

Debra E Rosen, LCSW

  • Clinical Social Worker
  • Boca Raton, FL
National Provider Identifier
1275626517
Registry record updated May 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW 4417 Issued in FL
Practice address
950 Peninsula Corporate Cir
Suite 2011
Boca Raton, FL 33487-1378
Phone
(561) 715-2022
Fax
(561) 558-8239
NPI assigned
Oct 1, 2006
Last updated
May 1, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 1, 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 SW 4417 FL Primary

Addresses

Primary practice location

950 Peninsula Corporate Cir
Suite 2011
Boca Raton, FL 33487-1378

Mailing address

950 Peninsula Corporate Cir
Suite 2011
Boca Raton, FL 33487-1378
Phone (561) 715-2022

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20040617000761 FL Practitioner - Clinical Social Worker 3274517008 Practice locations: Boca Raton, FL

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

3200 N Federal Hwy
Suite 206 15
Boca Raton, FL 33431-6049
Phone (561) 715-2022

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW 4417FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Boca Family Counseling Inc Clinical Past Accepting new patients

Networks

  • Freedom Health HMO Network

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1159660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209600000000",
    "number": "1275626517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 PENINSULA CORPORATE CIR",
            "address_2": "SUITE 2011",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334871378",
            "telephone_number": "561-715-2022",
            "fax_number": "561-558-8239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 PENINSULA CORPORATE CIR",
            "address_2": "SUITE 2011",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334871378",
            "telephone_number": "561-715-2022",
            "fax_number": "561-558-8239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSEN",
        "first_name": "DEBRA",
        "middle_name": "E",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-01",
        "last_updated": "2008-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW 4417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

Verify at the official NPI Registry.