Individual provider Active NPI

Rosalyn Beroza, LCSW-C

  • Clinical Social Worker
  • Silver Spring, MD
National Provider Identifier
1295855146
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
02989 Issued in MD
Practice address
8601 Georgia Ave
Suite 810
Silver Spring, MD 20910-3437
Phone
(301) 588-4442
Fax
(301) 588-4041
NPI assigned
Mar 31, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 02989 MD Primary

Addresses

Primary practice location

8601 Georgia Ave
Suite 810
Silver Spring, MD 20910-3437

Mailing address

9826 Capitol View Ave
Silver Spring, MD 20910-1030
Phone (301) 587-7403

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Apr 1, 2018 through Apr 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
02989MDMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1175299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1295855146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9826 CAPITOL VIEW AVE",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209101030",
            "telephone_number": "301-587-7403",
            "fax_number": "301-588-4041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8601 GEORGIA AVE",
            "address_2": "SUITE 810",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209103437",
            "telephone_number": "301-588-4442",
            "fax_number": "301-588-4041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEROZA",
        "first_name": "ROSALYN",
        "name_prefix": "Ms.",
        "credential": "LCSW-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "02989",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

Verify at the official NPI Registry.