Individual provider Active NPI

Rosh Ann Keating, LCSW

  • Clinical Social Worker
  • Greensboro, NC
National Provider Identifier
1316439375
Registry record updated Sep 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C013305 Issued in NC
Practice address
2100 W Cornwallis Dr Ste O
Greensboro, NC 27408-7015
Phone
(336) 337-5469
NPI assigned
Jun 5, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X P012428 NC
Clinical Social Worker 1041C0700X C013305 NC Primary

Addresses

Primary practice location

2100 W Cornwallis Dr Ste O
Greensboro, NC 27408-7015

Mailing address

2100 W Cornwallis Dr Ste O
Greensboro, NC 27408-7015
Phone (336) 337-5469

Other practice location 1

2732 Ann Elizabeth Dr
Burlington, NC 27215-6650
Phone (336) 229-5905

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20211018000558 NC Practitioner - Clinical Social Worker 6002214335 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P012428NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Rha Behavioral Health NC LLC CurrentSince Sep 20, 2021 Accepting new patients
Rha Behavioral Health NC LLC CurrentSince Sep 20, 2021 Accepting new patients
Rha Behavioral Health NC LLC Current Accepting new patients

Locations

211 Perimeter Center Pkwy NE
Ste 750
Atlanta, GA 30346

356 Biltmore Ave
Asheville, NC 28801
Phone (828) 252-0190

2732 Ann Elizabeth Dr
Burlington, NC 27215
Phone (336) 227-5050

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.

NPI Registry JSON

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

{
    "created_epoch": "1528156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631491200000",
    "number": "1316439375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 W CORNWALLIS DR STE O",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274087015",
            "telephone_number": "336-337-5469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 W CORNWALLIS DR STE O",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274087015",
            "telephone_number": "336-337-5469"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2732 Ann Elizabeth Dr",
            "address_purpose": "LOCATION",
            "city": "Burlington",
            "state": "NC",
            "postal_code": "272156650",
            "country_code": "US",
            "telephone_number": "336-229-5905",
            "fax_number": "336-228-7096",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KEATING",
        "first_name": "ROSH",
        "middle_name": "ANN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-05",
        "last_updated": "2021-09-13",
        "certification_date": "2021-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P012428",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C013305",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

Verify at the official NPI Registry.