Jason Rosa, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC05634600 Issued in NJ

Practice address

512 Brooklawn Ave
Roselle, NJ 07203-2578

Phone

(678) 367-9537

NPI assigned

Aug 18, 2015

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• River and Rose

  • Counselor
  • Roselle, NJ
  • NPI 1114575297
  NPD Authorized official

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

{
    "created_epoch": "1439856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464998400000",
    "number": "1326414079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "512 BROOKLAWN AVE",
            "city": "ROSELLE",
            "state": "NJ",
            "postal_code": "072032578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "512 BROOKLAWN AVE",
            "city": "ROSELLE",
            "state": "NJ",
            "postal_code": "072032578",
            "telephone_number": "678-367-9537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSA",
        "first_name": "JASON",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-08-18",
        "last_updated": "2016-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05634600",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW005272",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• River and Rose
• RJ Dental, LLC
• Danielle Robinson
• Myra Estella Robinson, PH.D
• Naomi Rodas
• Roselle Board of Education
• Roselle Center Rita Pharmacy
• Roselle Commons Dental Center, PC
• Roselle Podiatry Group, PA
• Louis Paul Ruales, PHARM D

• Clinical Social Worker in Roselle, NJ
• Providers in Roselle, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.