Active NPI
Alfred T. Rosenvinge, LCSW-R, ACSW
- Clinical Social Worker
- Bay Shore, NY
National Provider Identifier
1346390366
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- R036135-1
- Practice address
- 500 W Montauk Hwy
Bay Shore, NY 11706-8219 - Phone
- (631) 665-7701
- Fax
- (631) 665-7701
- NPI assigned
- Jan 11, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | R036135-1 | NY | Primary |
Addresses
Primary practice location
500 W Montauk Hwy
Bay Shore, NY 11706-8219
Mailing address
49 West Fort Salonga Road
Northport, NY 11768
Phone (631) 754-6425
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Solutions of Long Island Inc | Past | Accepting new patients | |
| Family Consultation Service | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Community/Behavioral Health Agency
- Northport, NY
- NPI 1245522283
-
- Community/Behavioral Health Agency
- Bay Shore, NY
- NPI 1114154168
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168473600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1346390366",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "49 WEST FORT SALONGA ROAD",
"city": "NORTHPORT",
"state": "NY",
"postal_code": "11768",
"telephone_number": "631-754-6425",
"fax_number": "631-754-6425"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 W MONTAUK HWY",
"city": "BAY SHORE",
"state": "NY",
"postal_code": "117068219",
"telephone_number": "631-665-7701",
"fax_number": "631-665-7701"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSENVINGE",
"first_name": "ALFRED",
"middle_name": "T.",
"name_prefix": "Mr.",
"credential": "LCSW-R, ACSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "R036135-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bay Shore, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.