Individual provider Active NPI

Troy Alan Rosslow, LCSW

  • Clinical Social Worker
  • Gainesville, FL
National Provider Identifier
1275922569
Registry record updated Feb 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW12432 Issued in FL
Practice address
115 NE 7TH Ave
Gainesville, FL 32601-4391
Phone
(352) 262-5573
NPI assigned
Jan 9, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Clinical Social Worker 1041C0700X SW12432 FL Primary

Addresses

Primary practice location

115 NE 7TH Ave
Gainesville, FL 32601-4391

Mailing address

2049 NE 16TH Ter
Gainesville, FL 32609-3957
Phone (352) 262-5733

Other practice location 1

2049 NE 16th Ter
Gainesville, FL 32609-3957
Phone (352) 262-5573

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
I20150312002314 FL Practitioner - Clinical Social Worker 2062738875 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

115 NE 7TH Ave
Gainesville, FL 32601-4391
Phone (352) 262-5573

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW12432FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Lucent Springs Counseling LLC. Clinical CurrentSince Jul 1, 2015 Accepting new patients

Locations

115 NE 7th Ave
Gainesville, FL 32601
Phone (352) 262-5498

1705 NW 6th St
Gainesville, FL 32609
Phone (352) 378-4848

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1420761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708128000000",
    "number": "1275922569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2049 NE 16TH TER",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326093957",
            "telephone_number": "352-262-5733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 NE 7TH AVE",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326014391",
            "telephone_number": "352-262-5573"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2049 NE 16th Ter",
            "address_purpose": "LOCATION",
            "city": "Gainesville",
            "state": "FL",
            "postal_code": "326093957",
            "country_code": "US",
            "telephone_number": "352-262-5573",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSSLOW",
        "first_name": "TROY",
        "middle_name": "ALAN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-01-09",
        "last_updated": "2024-02-17",
        "certification_date": "2024-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW12432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

Verify at the official NPI Registry.