Rose A. Cousino, MSW, LSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

S.1303062 Issued in OH

Practice address

5808 Monroe St
Suite A2
Sylvania, OH 43560-2268

Phone

(419) 345-7579

NPI assigned

Jun 22, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

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

Specialty

Clinical Social Worker

Education

Other, 2012

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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.

• Diana Lynn Theiss, PH.D., LISW-S

  • Clinical Social Worker
  • Sylvania, OH
  • NPI 1265722813
  Medicare reassignment
• Diana L Theiss PHD

  • Clinical Social Worker
  • Sylvania, OH
  • NPI 1396250338
  NPD

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

{
    "created_epoch": "1434931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434931200000",
    "number": "1356723720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4959 COBBLER CT",
            "city": "PERRYSBURG",
            "state": "OH",
            "postal_code": "435516918",
            "telephone_number": "419-345-7579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5808 MONROE ST",
            "address_2": "SUITE A2",
            "city": "SYLVANIA",
            "state": "OH",
            "postal_code": "435602268",
            "telephone_number": "419-345-7579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COUSINO",
        "first_name": "ROSE",
        "middle_name": "A.",
        "credential": "MSW, LSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-22",
        "last_updated": "2015-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "S.1303062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michele Lee Cornwell, CCC-SLP
• Seanique Lache Coston-Maddox
• Mackenzie Coughlan
• Beth A Courtright
• Linda L Cousino, LSW,
• Craig G. Burkhart, M.D., Inc.
• Amy Cramer, CNP
• Todd Prentice Crandell, LPCC, LCDCIII
• Megan Ashley Crippen, MD
• Lynette Crow, LISW-S

• Clinical Social Worker in Sylvania, OH
• Providers in Sylvania, OH by specialty
• Clinical Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.