Individual provider Active NPI

Emma Rosen, LCSW

  • Clinical Social Worker
  • Hyde Park, MA
National Provider Identifier
1346890035
Registry record updated Sep 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
224959 Issued in MA
Practice address
612 Metropolitan Ave
Hyde Park, MA 02136-3122
Phone
(617) 635-8865
NPI assigned
Sep 16, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2019

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 224959 MA Primary

Addresses

Primary practice location

612 Metropolitan Ave
Hyde Park, MA 02136-3122

Mailing address

612 Metropolitan Ave
Hyde Park, MA 02136-3122

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20240327001473 MA Practitioner - Clinical Social Worker 3274970124 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Compassionate Counseling CompanyGroup PAC ID 9830474618, 9 clinicians

Practice addresses (Care Compare)

4 Hartwell St
Suite 201
Fall River, MA 02721-3019
Phone (774) 218-5440

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Compassionate Counseling Company CurrentSince Mar 6, 2024 Accepting new patients

Locations

4 Hartwell St
Ste 201
Fall River, MA 02721
Phone (774) 218-5440

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1568592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568592000000",
    "number": "1346890035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "612 METROPOLITAN AVE",
            "city": "HYDE PARK",
            "state": "MA",
            "postal_code": "021363122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612 METROPOLITAN AVE",
            "city": "HYDE PARK",
            "state": "MA",
            "postal_code": "021363122",
            "telephone_number": "617-635-8865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSEN",
        "first_name": "EMMA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-16",
        "last_updated": "2019-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "224959",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hyde Park, MA

Sources for this page

Verify at the official NPI Registry.