Individual provider Active NPI

Marilyn Rosenberg, LCSW-R

  • Mental Health Counselor
  • Salt Point, NY
National Provider Identifier
1316965312
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
RO41583-1 Issued in NY
Practice address
100 Ring Rd
Salt Point, NY 12578-2227
Phone
(845) 266-3193
NPI assigned
Jul 17, 2006
Last updated
Jul 8, 2007By the provider in NPPES
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
Mental Health Counselor 101YM0800X RO41583-1 NY Primary

Addresses

Primary practice location

100 Ring Rd
Salt Point, NY 12578-2227

Mailing address

100 Ring Rd
Salt Point, NY 12578-2227
Phone (845) 266-3193

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20060131000820 NY Practitioner - Clinical Social Worker 5597779355 Reassigns benefits to 1 organization
Practice locations: Salt Point, NY

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RO41583-1NYMDMental Health Counselor
041583NYMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Bridges Counseling and Psychotherapy Group Mental Health CurrentSince Aug 24, 2018 Accepting new patients

Locations

2537 Route 52
Ste 1
Hopewell Junction, NY 12533
Phone (845) 897-4600

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": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1316965312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 RING RD",
            "city": "SALT POINT",
            "state": "NY",
            "postal_code": "125782227",
            "telephone_number": "845-266-3193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 RING RD",
            "city": "SALT POINT",
            "state": "NY",
            "postal_code": "125782227",
            "telephone_number": "845-266-3193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENBERG",
        "first_name": "MARILYN",
        "name_prefix": "Mrs.",
        "credential": "LCSW-R",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "RO41583-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Point, NY

Sources for this page

Verify at the official NPI Registry.